| Mids, Llc | |
|
3838 N Main St Ste 1c Mishawaka IN 46545-3100 | |
| (574) 404-3980 | |
| (574) 931-8601 |
| Full Name | Mids, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3838 N Main St Ste 1c, Mishawaka, Indiana |
| Authorized Official Name and Position | Lloyd Schulman (OFFICE MANAGER) |
| Authorized Official Contact | 5742866802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mids, Llc 3838 N Main St Ste 1c Mishawaka IN 46545-3100 Ph: (574) 404-3980 | Mids, Llc 3838 N Main St Ste 1c Mishawaka IN 46545-3100 Ph: (574) 404-3980 |
| NPI Number | 1366097016 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 08/08/2019 |
| Medicare PECOS PAC ID | 4688904501 |
|---|---|
| Medicare Enrollment ID | O20190919001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366097016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Aerie Kyung Chung |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992960850 PECOS PAC ID: 5991939415 Enrollment ID: I20131015002195 |
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