| Albert Willardo MD | |
|
7150 Indianapolis Blvd Hammond IN 46324-2245 | |
| (219) 845-2030 | |
| (219) 989-0257 |
| Full Name | Albert Willardo MD |
|---|---|
| Speciality | General Practice |
| Location | 7150 Indianapolis Blvd, Hammond, Indiana |
| Authorized Official Name and Position | Albert Willardo (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2198452030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert Willardo MD 55 E 86th Ave Po Box 10645 Merrillville IN 46410-6382 Ph: (219) 769-1670 | Albert Willardo MD 7150 Indianapolis Blvd Hammond IN 46324-2245 Ph: (219) 845-2030 |
| NPI Number | 1619155926 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619155926 | NPI | - | NPPES |
| 100161690A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01020554 (Indiana) | Primary |
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