Individual
MARIA O. SACRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 ROOSEVELT RD, STE 207, VALPARAISO, IN 46383-2802
(219) 462-4042
(219) 462-1444
Mailing address
PO BOX 1338, VALPARAISO, IN 46384-1338
(219) 462-4042
(219) 462-1444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
IN01025728
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109115
ANTHEM BC/BS
IN
05
—
100076930A
—
IN
01
—
90000239
BLUE CROSS OF ILL
IL
Enumeration date
06/08/2005
Last updated
10/23/2007
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