| Indigo Partners Llc | |
|
9410 Calumet Ave, Suite 201 Munster IN 46321 | |
| (219) 267-1799 | |
| Not Available |
| Full Name | Indigo Partners Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9410 Calumet Ave, Suite 201, Munster, Indiana |
| Authorized Official Name and Position | Mary Tilak (MD) |
| Authorized Official Contact | 2192671799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Partners Llc Po Box 3354 Munster IN 46321-0354 Ph: (219) 267-1799 | Indigo Partners Llc 9410 Calumet Ave, Suite 201 Munster IN 46321 Ph: (219) 267-1799 |
| NPI Number | 1275246399 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 6305202623 |
|---|---|
| Medicare Enrollment ID | O20230511002183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275246399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
| Provider Name | Mary N Tilak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518054352 PECOS PAC ID: 6800854951 Enrollment ID: I20041221000867 |
| Provider Name | Puneet Sethi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1275583395 PECOS PAC ID: 8325014954 Enrollment ID: I20081030000679 |
| Provider Name | Jonathan Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487045399 PECOS PAC ID: 2961715685 Enrollment ID: I20180831000890 |
| Provider Name | Joanne Niere-ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851702229 PECOS PAC ID: 7618194341 Enrollment ID: I20181220001871 |
| Provider Name | Gagandeep Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033564422 PECOS PAC ID: 8123319167 Enrollment ID: I20190722000411 |
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