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8683 Connecticut St Suite B Merrillville IN 46410-6388 | |
(219) 736-1022 | |
(219) 769-7554 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 8683 Connecticut St, Merrillville, Indiana |
Authorized Official Name and Position | John Stewart Brown (PRESIDENT) |
Authorized Official Contact | 2197361022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8683 Connecticut St Suite B Merrillville IN 46410-6388 Ph: (219) 736-1022 | 8683 Connecticut St Suite B Merrillville IN 46410-6388 Ph: (219) 736-1022 |
NPI Number | 1598817702 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 06/23/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598817702 | NPI | - | NPPES |
000000084541 | Other | IN | ANTHEM BCBS |
91107784 | Other | IL | BCBS-ILLINOIS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 01026202C (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 |