| Community Care Network Internists | |
|
9122 Columbia Ave Munster IN 46321-2907 | |
| (219) 836-3366 | |
| (219) 836-3559 |
| Full Name | Community Care Network Internists |
|---|---|
| Speciality | Internal Medicine |
| Location | 9122 Columbia Ave, Munster, Indiana |
| Authorized Official Name and Position | Donald P Fesko (CEO) |
| Authorized Official Contact | 2198361600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Network Internists 9122 Columbia Ave Munster IN 46321-2907 Ph: (219) 836-3366 | Community Care Network Internists 9122 Columbia Ave Munster IN 46321-2907 Ph: (219) 836-3366 |
| NPI Number | 1568645760 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568645760 | NPI | - | NPPES |
| 200886130A | Medicaid | IN | |
| 90000970 | Other | IN | BCBS OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Indiana) | Primary |
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