# ILANA T. KIRSCH, M.D. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568748614
- **Authorized official:** DR. ILANA T. KIRSCH M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (574) 243-4911

## Contact information

- **Practice address:** 15477 SPRING MEADOW LN, GRANGER, IN 46530-6506
- **Practice address phone:** (574) 243-4911
- **Mailing address:** 15477 SPRING MEADOW LN, GRANGER, IN 46530-6506
- **Mailing address phone:** (574) 243-4911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01054274 | IN | Yes |

## Other

- **Enumeration date:** 11/02/2011
- **Last updated:** 11/02/2011