| CD Egnatz MD PC | |
|
1326 W Us Route 30 Schererville IN 46375 | |
| (219) 865-2691 | |
| (219) 322-5928 |
| Full Name | CD Egnatz MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1326 W Us Route 30, Schererville, Indiana |
| Authorized Official Name and Position | Charles Dyke Egnatz (OWNER PRESIDENT) |
| Authorized Official Contact | 2198652691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| CD Egnatz MD PC 1326 W Us Route 30 Schererville IN 46375 Ph: (219) 865-2691 | CD Egnatz MD PC 1326 W Us Route 30 Schererville IN 46375 Ph: (219) 865-2691 |
| NPI Number | 1508954322 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508954322 | NPI | - | NPPES |
| 000000086644 | Other | IN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01019054A (Indiana) | Primary |
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