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Organization
TAKE CARE HEALTH INDIANA, P. C.
Active
Organization
TAKE CARE HEALTH INDIANA, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HEGG (ASSISTANT SECRETARY)
(855) 925-4733
Entity
Organization
Contact information
Practice address
3545 W 86TH ST, INDIANAPOLIS, IN 46268-1930
(855) 925-4733
(217) 709-2345
Mailing address
1901 E VOORHEES ST, MS 640, DANVILLE, IL 61834-4509
(855) 925-4733
(217) 709-2345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200953710
—
IN
Enumeration date
06/03/2008
Last updated
12/02/2015
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