| Organization Name: | BOULEVARD MEDICAL ASSOCIATES, SC |
| NPI Number: | 1982752911 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAVIO MANATT (PRESIDENT) |
| Mailing Address: | 30 E 15th St Suite 202 Chicago Heights |
| State: | IL US |
| Postal Code: | 604113459 |
| Phone Number: | 7087547777 |
| Fax Number: | 7087547701 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 173000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Legal Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |