| Immanuel Family Health Center | |
|
915 W Chicago Ave East Chicago IN 46312 | |
| (219) 397-6000 | |
| (219) 397-6358 |
| Full Name | Immanuel Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 915 W Chicago Ave, East Chicago, Indiana |
| Authorized Official Name and Position | Kanayo K Odeluga (OWNER/MD) |
| Authorized Official Contact | 2193976000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immanuel Family Health Center 915 W Chicago Ave East Chicago IN 46312-3308 Ph: (219) 397-6000 | Immanuel Family Health Center 915 W Chicago Ave East Chicago IN 46312 Ph: (219) 397-6000 |
| NPI Number | 1043375934 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 06/18/2019 |
| Medicare PECOS PAC ID | 3678548195 |
|---|---|
| Medicare Enrollment ID | O20040828000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043375934 | NPI | - | NPPES |
| 15D0956269 | Other | IN | CLIA |
| CG2552 | Other | PALMETO GBA MEDICA | |
| 200210560A | Medicaid | IN |
| Provider Name | Kanayo K Odeluga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023173895 PECOS PAC ID: 1850366378 Enrollment ID: I20100629000826 |
| Provider Name | Chinyere I Odeluga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316002181 PECOS PAC ID: 0648466045 Enrollment ID: I20130814000213 |
219 Health Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4320 Fir St Unit 216, East Chicago, IN 46312 Phone: 219-392-7025 | |
219 Health Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1802 E Columbus Dr, East Chicago, IN 46312 Phone: 219-397-6916 Fax: 219-397-9313 | |
Nwi Home Doctor Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3847 Euclid Ave, East Chicago, IN 46312 Phone: 219-949-7540 | |
219 Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 W Chicago Ave Ste F, East Chicago, IN 46312 Phone: 219-392-7016 | |
St Catherine Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 West Chicago Avenue, Suite F, East Chicago, IN 46312 Phone: 219-397-0193 Fax: 219-397-0657 | |
Elgin Surgicare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 W Chicago Ave, East Chicago, IN 46312 Phone: 630-345-0834 |