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205 E 86th Ct Merrillville IN 46410 | |
(219) 769-9070 | |
(219) 769-1758 |
Full Name | |
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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 |
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205 E 86th Ct Merrillville IN 46410 Ph: (219) 769-9070 | 205 E 86th Ct Merrillville IN 46410 Ph: (219) 769-9070 |
NPI Number | 1609899533 |
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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 |
Solution Telehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W 58th Pl, Merrillville, IN 46410 Phone: 773-732-0816 | |
Workcare Occupational Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 E 81st Place, Merrillville, IN 46410 Phone: 219-769-4400 |