| Dyer Pediatric Services | |
|
840 Richard Rd Suite # 4 Dyer IN 46311-1994 | |
| (219) 322-7171 | |
| (219) 864-2087 |
| Full Name | Dyer Pediatric Services |
|---|---|
| Speciality | Pediatrics |
| Location | 840 Richard Rd, Dyer, Indiana |
| Authorized Official Name and Position | Thomas Gryzbek (PRESIDENT) |
| Authorized Official Contact | 2199322300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dyer Pediatric Services Po Box 1000 Dyer IN 46311-0800 Ph: (219) 864-2107 | Dyer Pediatric Services 840 Richard Rd Suite # 4 Dyer IN 46311-1994 Ph: (219) 322-7171 |
| NPI Number | 1962572354 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962572354 | NPI | - | NPPES |
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| 200159110L | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Primary |
Sun Health Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 618 Shannon Brg, Dyer, IN 46311 Phone: 732-335-6515 Fax: 732-305-8026 |
Skin Cancer Care Center, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Main Street, Dyer, IN 46311 Phone: 219-934-2495 |
Community House Call Services LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Joliet St, Dyer, IN 46311 Phone: 844-546-8732 Fax: 708-529-2592 |
Informe HC Specialists, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Great Lakes Dr, Dyer, IN 46311 Phone: 219-322-3555 Fax: 888-724-0875 |
Gentile Healthcare , P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Suite 2e, Dyer, IN 46311 Phone: 219-865-9160 Fax: 219-865-9251 |
None Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Joliet St Ste 201, Dyer, IN 46311 Phone: 630-974-1400 Fax: 888-466-3320 |