| Midwest Infectious Diseases Associates Llc | |
|
751 E 81st Ave Merrillville IN 46410-5538 | |
| (219) 895-1185 | |
| Not Available |
| Full Name | Midwest Infectious Diseases Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 751 E 81st Ave, Merrillville, Indiana |
| Authorized Official Name and Position | Henry Andoh (PHYSICIAN) |
| Authorized Official Contact | 2198951185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Infectious Diseases Associates Llc 53 W Tam O Shanter Dr Crete IL 60417-6302 Ph: (708) 334-9738 | Midwest Infectious Diseases Associates Llc 751 E 81st Ave Merrillville IN 46410-5538 Ph: (219) 895-1185 |
| NPI Number | 1932693884 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 3779833843 |
|---|---|
| Medicare Enrollment ID | O20180911002631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932693884 | NPI | - | NPPES |
| 1578637245 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 01042402 (Indiana) | Primary |
| Provider Name | Henry M Andoh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578637245 PECOS PAC ID: 6901941541 Enrollment ID: I20100306000075 |
| Provider Name | Tonya A Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528392156 PECOS PAC ID: 7315101177 Enrollment ID: I20120607000621 |
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