| Dr. Mary Tilak Pc | |
|
209 East 86th Avenue Merrillville IN 46322-2601 | |
| (219) 922-8051 | |
| (219) 922-8608 |
| Full Name | Dr. Mary Tilak Pc |
|---|---|
| Speciality | Internal Medicine - Obesity Medicine |
| Location | 209 East 86th Avenue, Merrillville, Indiana |
| Authorized Official Name and Position | Mary N. Tilak (PRESIDENT) |
| Authorized Official Contact | 2199228051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mary Tilak Pc 209 East 86th Avenue Merrillville IN 46322-2601 Ph: (219) 922-8051 | Dr. Mary Tilak Pc 209 East 86th Avenue Merrillville IN 46322-2601 Ph: (219) 922-8051 |
| NPI Number | 1356525133 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356525133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | 01054662A (Indiana) | Primary |
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