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8300 Broadway Suite A1 Merrillville IN 46410-8602 | |
(219) 750-9389 | |
(219) 750-9681 |
Full Name | |
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Speciality | Internal Medicine |
Location | 8300 Broadway, Merrillville, Indiana |
Authorized Official Name and Position | Olusoji Anthony Peter (PRESIDENT) |
Authorized Official Contact | 2197509389 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8300 Broadway Suite A1 Merrillville IN 46410-8602 Ph: (219) 750-9389 | 8300 Broadway Suite A1 Merrillville IN 46410-8602 Ph: (219) 750-9389 |
NPI Number | 1598170631 |
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Provider Enumeration Date | 06/27/2014 |
Last Update Date | 06/27/2014 |
Identifier | Type | State | Issuer |
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1598170631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 01056426A (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 |