| Chantel Medical Llc | |
|
9108 Columbia Ave Ste B Munster IN 46321-2907 | |
| (219) 836-8901 | |
| (219) 836-8909 |
| Full Name | Chantel Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9108 Columbia Ave Ste B, Munster, Indiana |
| Authorized Official Name and Position | Satish Patel (OWNER) |
| Authorized Official Contact | 2198368901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chantel Medical Llc Po Box 3097 Munster IN 46321-0097 Ph: (219) 662-6391 | Chantel Medical Llc 9108 Columbia Ave Ste B Munster IN 46321-2907 Ph: (219) 836-8901 |
| NPI Number | 1427467273 |
|---|---|
| Provider Enumeration Date | 08/06/2014 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1456573997 |
|---|---|
| Medicare Enrollment ID | O20141117001223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427467273 | NPI | - | NPPES |
| IN2167 | Other | IN | MEDICARE PTAN |
| DV3634 | Other | IN | MEDICARE RR PTAN |
| 201254110A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Satish Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790746774 PECOS PAC ID: 7618933052 Enrollment ID: I20091211000345 |
| Provider Name | Tiffany N Berber-stanisz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730603937 PECOS PAC ID: 8527333673 Enrollment ID: I20170929000994 |
| Provider Name | Amena Khazaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689225138 PECOS PAC ID: 7517399249 Enrollment ID: I20191118001247 |
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