| Northshore Regional Health Centers | |
|
8555 Taft St Merrillville IN 46410-6123 | |
| (219) 763-8112 | |
| (219) 764-3251 |
| Full Name | Northshore Regional Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 8555 Taft St, Merrillville, Indiana |
| Authorized Official Name and Position | Janice Wilson (CEO) |
| Authorized Official Contact | 2197638112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Regional Health Centers Po Box 1430 Portage IN 46368-9230 Ph: (219) 763-8112 | Northshore Regional Health Centers 8555 Taft St Merrillville IN 46410-6123 Ph: (219) 763-8112 |
| NPI Number | 1114257300 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 03/12/2013 |
| Medicare PECOS PAC ID | 5799671236 |
|---|---|
| Medicare Enrollment ID | O20040827000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114257300 | NPI | - | NPPES |
| 151861 | Other | IN | MEDICARE PTAN |
| 200331170 | Medicaid | IN | |
| 191360 | Other | IN | MEDICARE PART B PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Sonia B Yballe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306838784 PECOS PAC ID: 5991607350 Enrollment ID: I20040126000112 |
| Provider Name | Elizabeth Ann Rutherford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083653711 PECOS PAC ID: 6002704293 Enrollment ID: I20040309000718 |
| Provider Name | Crystal A Strickland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700947462 PECOS PAC ID: 5597655621 Enrollment ID: I20040319001096 |
| Provider Name | John A Sobolewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912992629 PECOS PAC ID: 7911988282 Enrollment ID: I20040525000473 |
| Provider Name | Michael Pao-chun Hu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114909942 PECOS PAC ID: 5890768212 Enrollment ID: I20040814000141 |
| Provider Name | Leonard W Ostrowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881691947 PECOS PAC ID: 7113992884 Enrollment ID: I20040827000242 |
| Provider Name | Marylyn A Rosencranz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811981970 PECOS PAC ID: 9234196015 Enrollment ID: I20041214000001 |
| Provider Name | Daniel R Dewar |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063512937 PECOS PAC ID: 3779532890 Enrollment ID: I20050115000031 |
| Provider Name | Madhumita D Bhojraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568482404 PECOS PAC ID: 3476594128 Enrollment ID: I20050513000316 |
| Provider Name | Shah A Chowdhury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578563516 PECOS PAC ID: 9234155631 Enrollment ID: I20051014000511 |
| Provider Name | Scott A Siegall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720199029 PECOS PAC ID: 5193725620 Enrollment ID: I20070108000366 |
| Provider Name | Lee Jennifer Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982706412 PECOS PAC ID: 3173437175 Enrollment ID: I20070330000339 |
| Provider Name | Mario M Robbins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538151717 PECOS PAC ID: 0143320945 Enrollment ID: I20070710000075 |
| Provider Name | Michael A Villanueva |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083768527 PECOS PAC ID: 4385734805 Enrollment ID: I20071220000079 |
| Provider Name | Perkin K Stang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679616924 PECOS PAC ID: 0749366656 Enrollment ID: I20080318000460 |
| Provider Name | Andrew I Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922161595 PECOS PAC ID: 1557436649 Enrollment ID: I20080825000595 |
| Provider Name | Queen A Marsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659463859 PECOS PAC ID: 7719048628 Enrollment ID: I20081211000064 |
| Provider Name | Frank X Weilnhammer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053460899 PECOS PAC ID: 4981594439 Enrollment ID: I20081223000061 |
| Provider Name | Keith M Ramsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487632527 PECOS PAC ID: 7618932807 Enrollment ID: I20081224000189 |
| Provider Name | Sanker Jayachandran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679515035 PECOS PAC ID: 3971587528 Enrollment ID: I20091111000497 |
| Provider Name | Deborah L Mccullough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942216478 PECOS PAC ID: 1052453701 Enrollment ID: I20100119000678 |
| Provider Name | Susan M Lloyd-merrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932357993 PECOS PAC ID: 9133268204 Enrollment ID: I20100225000263 |
| Provider Name | John S Kern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083615454 PECOS PAC ID: 6002872868 Enrollment ID: I20100527000502 |
| Provider Name | Bruce J Brincko |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487647277 PECOS PAC ID: 6800901935 Enrollment ID: I20101012000016 |
| Provider Name | Dennis Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477546265 PECOS PAC ID: 0749309276 Enrollment ID: I20101028000050 |
| Provider Name | Cheryl D Short |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790846517 PECOS PAC ID: 1850281973 Enrollment ID: I20110104000108 |
| Provider Name | Kimberly A Hess |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972695666 PECOS PAC ID: 4082606819 Enrollment ID: I20110504000339 |
| Provider Name | Mark A Jones |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326067042 PECOS PAC ID: 6305731191 Enrollment ID: I20110608000125 |
| Provider Name | Ronald S Lemon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518034586 PECOS PAC ID: 7416020359 Enrollment ID: I20111227000635 |
| Provider Name | George V Tsoutsouris |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952309759 PECOS PAC ID: 8820103930 Enrollment ID: I20120110000421 |
| Provider Name | Vijay Jayachandran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114969573 PECOS PAC ID: 7517128085 Enrollment ID: I20120410000033 |
| Provider Name | Zeba Madni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548423858 PECOS PAC ID: 2466601133 Enrollment ID: I20121012000762 |
| Provider Name | Andrea Tekie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326372046 PECOS PAC ID: 6800047671 Enrollment ID: I20121105000403 |
| Provider Name | Faiqa Mohyuddin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164661922 PECOS PAC ID: 1850536194 Enrollment ID: I20130314000366 |
| Provider Name | Melissa M Dvorscak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023353174 PECOS PAC ID: 6507091279 Enrollment ID: I20131105001321 |
| Provider Name | Nanette Lindesmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982041893 PECOS PAC ID: 6709011489 Enrollment ID: I20131105001601 |
| Provider Name | Kobie I Douglas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497850663 PECOS PAC ID: 2860458536 Enrollment ID: I20131115000035 |
| Provider Name | Chantal L Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508979725 PECOS PAC ID: 4284865494 Enrollment ID: I20140331002059 |
| Provider Name | Claudette R Dandridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821101957 PECOS PAC ID: 8123245636 Enrollment ID: I20140806002723 |
| Provider Name | Catherine M Wilbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801824420 PECOS PAC ID: 9739183997 Enrollment ID: I20160615001508 |
| Provider Name | Preethi K Venepalli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700049558 PECOS PAC ID: 7911171673 Enrollment ID: I20160701001484 |
| Provider Name | Sonali Kumari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093072555 PECOS PAC ID: 1153647003 Enrollment ID: I20161025003103 |
| Provider Name | Reynaldo M Caluag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255477857 PECOS PAC ID: 9739257320 Enrollment ID: I20170223001177 |
| Provider Name | Saoussan Alfahel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366697427 PECOS PAC ID: 9335327089 Enrollment ID: I20170712001047 |
| Provider Name | Kristina Tomic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912417031 PECOS PAC ID: 2365709409 Enrollment ID: I20171128003314 |
| Provider Name | Lashanna Shanice Lovell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821417023 PECOS PAC ID: 6305148180 Enrollment ID: I20171206003489 |
| Provider Name | Sahar Hanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467693580 PECOS PAC ID: 1355498742 Enrollment ID: I20180131001205 |
| Provider Name | Shawn P Naranjo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629338777 PECOS PAC ID: 3476792169 Enrollment ID: I20180703003385 |
| Provider Name | Jeane Marie Casselberry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649233883 PECOS PAC ID: 8628046992 Enrollment ID: I20180911003066 |
| Provider Name | Aditya S Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578958278 PECOS PAC ID: 9537463419 Enrollment ID: I20181018000835 |
| Provider Name | Sarah Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542818 PECOS PAC ID: 4789938408 Enrollment ID: I20181116000098 |
| Provider Name | Andi Arnautovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487795118 PECOS PAC ID: 9335299940 Enrollment ID: I20181119002168 |
| Provider Name | Audrey Simone Dawson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053889915 PECOS PAC ID: 0941544555 Enrollment ID: I20181210001231 |
| Provider Name | Mary P Kustron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720568017 PECOS PAC ID: 9537406418 Enrollment ID: I20190130002923 |
| Provider Name | Kimberly M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255804613 PECOS PAC ID: 3072851369 Enrollment ID: I20190212001588 |
| Provider Name | Emily Mangiaracina |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700314630 PECOS PAC ID: 8224371257 Enrollment ID: I20190515000756 |
| Provider Name | Belal Hegazy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205103793 PECOS PAC ID: 5092956409 Enrollment ID: I20190620002224 |
| Provider Name | Narayan Prabhakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275616955 PECOS PAC ID: 8729078779 Enrollment ID: I20190712000259 |
| Provider Name | Matthew J Tipton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487049813 PECOS PAC ID: 0941502249 Enrollment ID: I20190730004215 |
| Provider Name | Nisha Kadri Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689092389 PECOS PAC ID: 2163751371 Enrollment ID: I20190913001334 |
| Provider Name | Amjad A Safvi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093707457 PECOS PAC ID: 7012809650 Enrollment ID: I20190930000400 |
| Provider Name | Wahid Kassar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144203647 PECOS PAC ID: 4789573692 Enrollment ID: I20191030003637 |
| Provider Name | Isil Halac |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487787602 PECOS PAC ID: 6608976758 Enrollment ID: I20200609001258 |
| Provider Name | Lakeysha Patrice Freeny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336761576 PECOS PAC ID: 1658793096 Enrollment ID: I20200612000561 |
| Provider Name | Maya J Dominique |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942658497 PECOS PAC ID: 0446672596 Enrollment ID: I20200619000418 |
| Provider Name | Christine M Kazlauskas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134650013 PECOS PAC ID: 6002188653 Enrollment ID: I20200721000194 |
| Provider Name | Vanessa R Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033101753 PECOS PAC ID: 8325056914 Enrollment ID: I20200721003763 |
| Provider Name | Ramadevi Sankaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790992782 PECOS PAC ID: 4688741481 Enrollment ID: I20200930001680 |
| Provider Name | Bianca Yasmin Rafidia Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437760519 PECOS PAC ID: 0941620710 Enrollment ID: I20201015002973 |
| Provider Name | Lisa M Malone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588647523 PECOS PAC ID: 2961471180 Enrollment ID: I20201116001228 |
| Provider Name | Charmi Shiyarwala |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366882763 PECOS PAC ID: 9931512928 Enrollment ID: I20210112002537 |
| Provider Name | Joseph G Hofferth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629101902 PECOS PAC ID: 7517371602 Enrollment ID: I20210201002778 |
| Provider Name | Erica Horn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548258874 PECOS PAC ID: 0547220329 Enrollment ID: I20210302001385 |
| Provider Name | Aurora Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887620 PECOS PAC ID: 4688909914 Enrollment ID: I20210324001943 |
| Provider Name | Alexandra D Mcburnie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306498787 PECOS PAC ID: 4587072921 Enrollment ID: I20210423000073 |
| Provider Name | Mayory Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447896568 PECOS PAC ID: 3870927858 Enrollment ID: I20210428000608 |
| Provider Name | Mary Beth Bustos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306482518 PECOS PAC ID: 1759703622 Enrollment ID: I20210514001791 |
| Provider Name | Eldin E Karaikovic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033131024 PECOS PAC ID: 3870586308 Enrollment ID: I20210604000449 |
| Provider Name | Patricia L Moody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043369747 PECOS PAC ID: 3678607793 Enrollment ID: I20210716000991 |
| Provider Name | Dana D Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013447853 PECOS PAC ID: 9739450388 Enrollment ID: I20210921000172 |
| Provider Name | Melissa J Duvall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013674142 PECOS PAC ID: 3072903863 Enrollment ID: I20211210000223 |
| Provider Name | Edna S Vianzon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790761989 PECOS PAC ID: 0840680476 Enrollment ID: I20211214000864 |
| Provider Name | Kathryn H Schreck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205314226 PECOS PAC ID: 9537553565 Enrollment ID: I20220308001183 |
| Provider Name | Matthew L Trinidad |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487328316 PECOS PAC ID: 0648667196 Enrollment ID: I20220502000317 |
| Provider Name | Matthew T Monaco |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760123640 PECOS PAC ID: 9133506173 Enrollment ID: I20220513000680 |
| Provider Name | Wanda M Averhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598184632 PECOS PAC ID: 0345542403 Enrollment ID: I20220829000245 |
| Provider Name | Chandia R Sorsby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881953867 PECOS PAC ID: 8325423858 Enrollment ID: I20220919002538 |
| Provider Name | Vernedia A Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932483906 PECOS PAC ID: 8022284470 Enrollment ID: I20221011000819 |
| Provider Name | Simona M Toader |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225416019 PECOS PAC ID: 3870805344 Enrollment ID: I20221110001859 |
| Provider Name | Gretchen M Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043928468 PECOS PAC ID: 1153792346 Enrollment ID: I20230126001357 |
| Provider Name | Minaxi H Vora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952963191 PECOS PAC ID: 1153796396 Enrollment ID: I20230331001310 |
| Provider Name | Pablo E Chagoya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235128075 PECOS PAC ID: 2264486133 Enrollment ID: I20231018002258 |
| Provider Name | Christina M Branham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124001391 PECOS PAC ID: 1850334517 Enrollment ID: I20231212000960 |
| Provider Name | Cydney A Bullock-tipton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801325972 PECOS PAC ID: 7810268455 Enrollment ID: I20231220000248 |
| Provider Name | Jessica Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043985880 PECOS PAC ID: 9638515802 Enrollment ID: I20240311000398 |
| Provider Name | Jillian Mlinarcik |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861894875 PECOS PAC ID: 0941646897 Enrollment ID: I20240313003430 |
Uwc- Merrillville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 W 81st Ave Ste A, Merrillville, IN 46410 Phone: 312-421-1016 Fax: 219-255-9588 | |
Solution Telehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W 58th Pl, Merrillville, IN 46410 Phone: 773-732-0816 | |
Northshore Merrillville Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6091 Broadway, Merrillville, IN 46410 Phone: 219-763-8944 Fax: 219-764-5395 | |
Proactive Md Merrillville Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 E 84th Dr, Merrillville, IN 46410 Phone: 812-645-1892 | |
Northshore Regional Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-763-8812 Fax: 219-764-3251 | |
Workcare Occupational Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 E 81st Place, Merrillville, IN 46410 Phone: 219-769-4400 |