| Gentile Healthcare , P.c. | |
|
1001 Main St Suite 2e Dyer IN 46311-1234 | |
| (219) 865-9160 | |
| (219) 865-9251 |
| Full Name | Gentile Healthcare , P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1001 Main St, Dyer, Indiana |
| Authorized Official Name and Position | Anthony Nicholas Gentile (PRESIDENT) |
| Authorized Official Contact | 2198659160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentile Healthcare , P.c. 1001 Main St Suite 2e Dyer IN 46311-1234 Ph: (219) 865-9160 | Gentile Healthcare , P.c. 1001 Main St Suite 2e Dyer IN 46311-1234 Ph: (219) 865-9160 |
| NPI Number | 1356303473 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356303473 | NPI | - | NPPES |
| 036082524 | Medicaid | IL | |
| 100468800A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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