| Childrens And Family Health Clinic | |
|
205 E 86th Ct Merrillville IN 46410 | |
| (219) 769-9070 | |
| (219) 769-1758 |
| Full Name | Childrens And Family Health Clinic |
|---|---|
| Speciality | Pediatrics |
| Location | 205 E 86th Ct, Merrillville, Indiana |
| Authorized Official Name and Position | Azra Shibli Sheriff (PRESIDENT) |
| Authorized Official Contact | 2197699070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens And Family Health Clinic 205 E 86th Ct Merrillville IN 46410 Ph: (219) 769-9070 | Childrens And Family Health Clinic 205 E 86th Ct Merrillville IN 46410 Ph: (219) 769-9070 |
| NPI Number | 1609899533 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609899533 | NPI | - | NPPES |
| 100212430C | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01032560 (Indiana) | Secondary |
| 208000000X | Pediatrics | 01032560 (Indiana) | Primary |
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