| Apical Healthcare | |
|
327 E Wayne St Ste 150 Fort Wayne IN 46802-2753 | |
| (347) 468-2394 | |
| Not Available |
| Full Name | Apical Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 327 E Wayne St, Fort Wayne, Indiana |
| Authorized Official Name and Position | David U Ilo (SOLE MEMBER) |
| Authorized Official Contact | 3474682394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apical Healthcare 327 E Wayne St Ste 150 Fort Wayne IN 46802-2753 Ph: (347) 468-2394 | Apical Healthcare 327 E Wayne St Ste 150 Fort Wayne IN 46802-2753 Ph: (347) 468-2394 |
| NPI Number | 1881960433 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 8224291422 |
|---|---|
| Medicare Enrollment ID | O20120529000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881960433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01064700A (Indiana) | Primary |
| Provider Name | David U Ilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104094689 PECOS PAC ID: 1759458797 Enrollment ID: I20080917000500 |
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