| Omni Physician Suites | |
|
221 Us Highway 41 Suite # 1 Schererville IN 46375-1277 | |
| (219) 864-3950 | |
| (219) 864-3952 |
| Full Name | Omni Physician Suites |
|---|---|
| Speciality | Family Medicine |
| Location | 221 Us Highway 41, Schererville, Indiana |
| Authorized Official Name and Position | Thomas Gryzbek (PRESIDENT) |
| Authorized Official Contact | 2199322300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Physician Suites Po Box 1000 Dyer IN 46311-0800 Ph: (219) 864-2107 | Omni Physician Suites 221 Us Highway 41 Suite # 1 Schererville IN 46375-1277 Ph: (219) 864-3950 |
| NPI Number | 1720157779 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720157779 | NPI | - | NPPES |
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| 200159110R | Medicaid | IN |
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