# MEDICI HEALTH CARE PROVIDERS, P.C.

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

## Provider details

- **NPI number:** 1952543175
- **Authorized official:** DR. MAURICIO ALEXANDRE CONSALTER M.D. (CEO/PRESIDENT)
- **Authorized official phone:** (312) 733-2273

## Contact information

- **Practice address:** 7863 BROADWAY, SUITE219, MERRILLVILLE, IN 46410-5553
- **Practice address phone:** (219) 769-8610
- **Practice address fax:** (219) 769-8625
- **Mailing address:** 7863 BROADWAY, SUITE219, MERRILLVILLE, IN 46410-5553
- **Mailing address phone:** (219) 769-8610
- **Mailing address fax:** (219) 769-8625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2009
- **Last updated:** 04/02/2009