# INDIANA PHYSICIAN MANAGEMENT-NORTHEAST, LLC

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

## Provider details

- **NPI number:** 1740431576
- **Authorized official:** STEWART BICK MD (PRESIDENT)
- **Authorized official phone:** (317) 870-6716

## Contact information

- **Practice address:** 13861 OLIO RD, FISHERS, IN 46037-3487
- **Practice address phone:** (317) 870-6716
- **Practice address fax:** (317) 870-0499
- **Mailing address:** 4685 RELIABLE PKWY, CHICAGO, IL 60686-0001
- **Mailing address phone:** (317) 870-6716
- **Mailing address fax:** (317) 870-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 04/18/2013