| Dr Mary Tilak Pc | |
|
9410 Calumet Ave Ste 101 Munster IN 46321-2812 | |
| (219) 922-8051 | |
| (219) 922-8608 |
| Full Name | Dr Mary Tilak Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9410 Calumet Ave Ste 101, Munster, Indiana |
| Authorized Official Name and Position | Mary N. Tilak (PRESIDENT) |
| Authorized Official Contact | 2199228051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Tilak Pc Po Box 736895 Chicago IL 60673-6895 Ph: (219) 922-8051 | Dr Mary Tilak Pc 9410 Calumet Ave Ste 101 Munster IN 46321-2812 Ph: (219) 922-8051 |
| NPI Number | 1003096900 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 04/24/2026 |
| Medicare PECOS PAC ID | 1951490390 |
|---|---|
| Medicare Enrollment ID | O20071207000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003096900 | NPI | - | NPPES |
| 000000541656 | Other | IN | ANTHEM |
| 90001352 | Other | IL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary N Tilak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518054352 PECOS PAC ID: 6800854951 Enrollment ID: I20041221000867 |
| Provider Name | Puneet Sethi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1275583395 PECOS PAC ID: 8325014954 Enrollment ID: I20081030000679 |
| Provider Name | Cheryl Anthony Worix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528028693 PECOS PAC ID: 7911032255 Enrollment ID: I20100311001017 |
| Provider Name | Elizabeth A Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629447891 PECOS PAC ID: 0446559611 Enrollment ID: I20160422001440 |
| Provider Name | Hannah Halewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285094490 PECOS PAC ID: 6305138983 Enrollment ID: I20160630001824 |
| Provider Name | Jonathan Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487045399 PECOS PAC ID: 2961715685 Enrollment ID: I20180831000890 |
| Provider Name | Samantha Nicole Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992272405 PECOS PAC ID: 6901150226 Enrollment ID: I20181126001053 |
| Provider Name | Joanne Niere-ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851702229 PECOS PAC ID: 7618194341 Enrollment ID: I20181220001871 |
| Provider Name | Gagandeep Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033564422 PECOS PAC ID: 8123319167 Enrollment ID: I20190722000411 |
| Provider Name | Bethany Michielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437784451 PECOS PAC ID: 6406286731 Enrollment ID: I20200428001440 |
| Provider Name | Agnes Errihani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619574084 PECOS PAC ID: 7416377791 Enrollment ID: I20201027000620 |
| Provider Name | Ganiyu Azeez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982808747 PECOS PAC ID: 6406953520 Enrollment ID: I20201202000518 |
| Provider Name | Savannah Marie Comstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770244469 PECOS PAC ID: 7416340450 Enrollment ID: I20220215001433 |
| Provider Name | Chelsea Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497410849 PECOS PAC ID: 2567856263 Enrollment ID: I20220223000300 |
| Provider Name | Brandy Alicia Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679234009 PECOS PAC ID: 5991192825 Enrollment ID: I20220425000950 |
| Provider Name | Michael Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457932337 PECOS PAC ID: 5890194401 Enrollment ID: I20220919000980 |
| Provider Name | Elizabeth Ann Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548985559 PECOS PAC ID: 9335517234 Enrollment ID: I20221128001411 |
| Provider Name | Konstantina Gardikiotes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013765056 PECOS PAC ID: 8022552272 Enrollment ID: I20240628003110 |
| Provider Name | Stephanie Gail Penacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285461822 PECOS PAC ID: 7416489042 Enrollment ID: I20241021001101 |
Family First Medical Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8840 Calumet Ave Ste 203, Munster, IN 46321 Phone: 219-595-0535 | |
Mobile Doctors Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9108 Columbia Ave, Munster, IN 46321 Phone: 219-678-4000 Fax: 219-678-4000 | |
M R Olden & Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Superior Ave, Suite O, Munster, IN 46321 Phone: 219-922-4220 Fax: 219-922-4020 | |
219 Health Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9130 Columbia Ave Ste A, Munster, IN 46321 Phone: 219-554-4081 Fax: 219-554-4088 | |
Krishnakant Raiker Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9038 Columbia Ave, Suite B, Munster, IN 46321 Phone: 219-836-8106 Fax: 219-836-5774 | |
Barot & Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Ridge Rd Ste 8, Munster, IN 46321 Phone: 219-614-8685 |