Organization · Type 2 NPI
Antonio Marra
Primary Care Clinic/Center · Chicago Heights, IL
NPI number
1659777530
Active
Practice location
30 E 15th St Ste 205
Chicago Heights, IL 60411-3476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 036038919 (IL) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1659777530
Antonio Marra's National Provider Identifier is 1659777530, issued on Nov 5, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Chicago Heights, IL. The record was last updated on Nov 5, 2014.