In Post Acute Specialists, Pc
Internal Medicine Physician in Saint John, IN(View on Map)
Legal Business Name
In Post Acute Specialists, Pc
NPI Number
1629584396
NPI Type
Organization
Enumeration Date
12/18/2017
Specialties
(Taxonomies)Code
207R00000X
207P00000X
207Q00000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
222 MERCHANDISE MART PLZ STE 1230
10820 PARK PL STE 1230
City
Chicago
Saint John
State
IL
IN
Postal Code
60654-4342
46373-8630
Country
US
US
Telephone Number
(800) 411-6768
(800) 411-6768
Authorized Official
Name
Laurel Dotas
Title or Position
CHIEF OPERATING OFFICER
Telephone Number
(352) 215-1603
Identifiers
Identifier
01073262A
300013555
Identifier State
IN
IN
Identifier Issuer
INDIANA LICENSE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/01/2024
Provider Address
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Community Care Network Inc
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