Organization
ORTHOPAEDICS,INC. OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S PALLIKAN (OFFICE MANAGER)
(219) 887-9506
Entity
Organization
Contact information
Practice address
5587 BROADWAY, MERRILLVILLE, IN 46410
(219) 887-9506
(219) 884-3761
Mailing address
5587 BROADWAY, MERRILLVILLE, IN 46410
(219) 887-9506
(219) 884-3761
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01020975
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160550A
—
IN
01
—
91115489
BLUE SHIELD OF ILLINOIS
IL
Enumeration date
07/14/2005
Last updated
11/29/2010
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