| Infectious Disease Specialists, P.c. | |
|
9143 Indianapolis Blvd Highland IN 46322-2500 | |
| (219) 972-1547 | |
| (219) 836-0034 |
| Full Name | Infectious Disease Specialists, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9143 Indianapolis Blvd, Highland, Indiana |
| Authorized Official Name and Position | Thomas K. Sleweon (PRESIDENT) |
| Authorized Official Contact | 2198362022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Specialists, P.c. 9201 Calumet Ave Munster IN 46321-2807 Ph: (219) 836-2022 | Infectious Disease Specialists, P.c. 9143 Indianapolis Blvd Highland IN 46322-2500 Ph: (219) 972-1547 |
| NPI Number | 1245217215 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 09/13/2012 |
| Medicare PECOS PAC ID | 4981691862 |
|---|---|
| Medicare Enrollment ID | O20040430000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245217215 | NPI | - | NPPES |
| 200307990 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Indiana) | Primary |
| Provider Name | Erika Young |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750363206 PECOS PAC ID: 9335193259 Enrollment ID: I20050303000551 |
| Provider Name | Richard L Yu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609858067 PECOS PAC ID: 8628025541 Enrollment ID: I20050404000346 |
| Provider Name | Thomas K Sleweon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114909769 PECOS PAC ID: 3779570668 Enrollment ID: I20050404000578 |
| Provider Name | Michael Alan Polich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871675637 PECOS PAC ID: 4284677824 Enrollment ID: I20050606000473 |
| Provider Name | Ralph Villaran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699858985 PECOS PAC ID: 0840392411 Enrollment ID: I20070228000327 |
| Provider Name | Siju T Chacko |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720017262 PECOS PAC ID: 0840274718 Enrollment ID: I20080709000094 |
| Provider Name | Kimberly K Oppman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265507487 PECOS PAC ID: 2365441433 Enrollment ID: I20121023000648 |
| Provider Name | Oliver P Diamante |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669781050 PECOS PAC ID: 1951612001 Enrollment ID: I20150616002954 |
| Provider Name | Kelly R Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265957971 PECOS PAC ID: 5092077511 Enrollment ID: I20180321002666 |
| Provider Name | Candace Kapranos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285265686 PECOS PAC ID: 6709203623 Enrollment ID: I20200824002256 |
| Provider Name | Amanda Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760071815 PECOS PAC ID: 2769632660 Enrollment ID: I20210128001509 |
Dr Mary Tilak P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2241 45th St, Highland, IN 46322 Phone: 219-922-8051 Fax: 219-922-8608 | |
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