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8555 Taft St Merrillville IN 46410-6123 | |
(219) 763-8812 | |
(219) 764-3251 |
Full Name | |
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Speciality | Family Medicine |
Location | 8555 Taft St, Merrillville, Indiana |
Authorized Official Name and Position | Janice Wilson (CEO) |
Authorized Official Contact | 2197645318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1430 Portage IN 46368-9230 Ph: (219) 764-5318 | 8555 Taft St Merrillville IN 46410-6123 Ph: (219) 763-8812 |
NPI Number | 1104158377 |
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Provider Enumeration Date | 02/12/2010 |
Last Update Date | 06/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104158377 | NPI | - | NPPES |
200331170 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | 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 |