Primary Care Center, Inc. | |
9006 Indianapolis Blvd Highland IN 46322-2501 | |
(219) 923-2241 | |
Not Available |
Full Name | Primary Care Center, Inc. |
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Speciality | Clinic/Center |
Location | 9006 Indianapolis Blvd, Highland, Indiana |
Authorized Official Name and Position | John M. Szymczak (PRESIDENT) |
Authorized Official Contact | 6307128000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Center, Inc. 6543 Pontiac Dr Indian Head Park IL 60525-4351 Ph: (630) 712-8000 | Primary Care Center, Inc. 9006 Indianapolis Blvd Highland IN 46322-2501 Ph: (219) 923-2241 |
NPI Number | 1942621503 |
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Provider Enumeration Date | 12/30/2013 |
Last Update Date | 01/10/2014 |
Medicare PECOS PAC ID | 5698998144 |
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Medicare Enrollment ID | O20140602001051 |
Identifier | Type | State | Issuer |
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1942621503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 01065769A (Indiana) | Primary |
Provider Name | John M Szymczak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972701928 PECOS PAC ID: 6002967049 Enrollment ID: I20090702000061 |
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