Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulevard Medical Associates, SC

Organization Legal Medicine · NPI 1982752911

Boulevard Medical Associates, SC provides Legal Medicine in Chicago Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

30 E 15th St Ste 202
Chicago Heights, IL 60411-3459
Phone: (708) 754-7777
Fax: (708) 754-7701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X (IL)

Record details

NPI number1982752911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Savio Manatt — President · (708) 754-7777
NPI enumeratedJanuary 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address30 E 15th St, Suite 202, Chicago Heights, IL 60411-3459

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