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Antonio Marra
Primary Care Clinic/Center in Chicago Heights, Illinois
NPI 1659777530

Antonio Marra is a Primary Care Clinic/Center based in Chicago Heights, IL and is specialized in Primary Care. Antonio Marra practices in Chicago Heights, IL. The NPI Number for Antonio Marra is 1659777530 and holds a License No. 036038919 (Illinois).

The current practice location address for Antonio Marra is 30 E 15Th St Ste 205, Chicago Heights, IL and can be reached out via phone at 708-755-4401.

Location: 30 E 15Th St Ste 205, Chicago Heights, IL, 60411-3476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659777530
Provider Name
Antonio Marra
Credential
Provider Entity Type
Organization
Address
30 E 15Th St Ste 205, Chicago Heights, IL, 60411-3476
Phone Number
708-755-4401
Fax Number
Provider Enumeration Date
11/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 E 15Th St Ste 205
City
Chicago Heights
State
Illinois
Zip
60411-3476
Phone Number
708-755-4401
Fax Number
person
Provider Business Mailing Address Details
Address
30 E 15Th St Ste 205
City
Chicago Heights
State
Illinois
Zip
60411-3476
Phone Number
708-755-4401
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
036038919 (Illinois)
Definition
Definition to come...
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