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14785 W 101st Ave Dyer IN 46311-3371 | |
| (219) 864-2235 | |
| (219) 864-1398 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 14785 W 101st Ave, Dyer, Indiana |
| Authorized Official Name and Position | Thomas Gryzbek (PRESIDENT) |
| Authorized Official Contact | 2199322300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1000 Dyer IN 46311-0800 Ph: (219) 864-2107 | 14785 W 101st Ave Dyer IN 46311-3371 Ph: (219) 864-2235 |
| NPI Number | 1457421836 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457421836 | NPI | - | NPPES |
| 200159110I | Medicaid | IN | |
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
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Informe Hc Specialists, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Great Lakes Dr, Dyer, IN 46311 Phone: 219-322-3555 Fax: 888-724-0875 | |
Gentile Healthcare , P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Suite 2e, Dyer, IN 46311 Phone: 219-865-9160 Fax: 219-865-9251 | |