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Organization

INDIANA PHYSICIAN MANAGEMENT-MERCY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEWART BICK M.D. (PRESIDENT)
(317) 844-7440
Entity
Organization

Contact information

Practice address
1331 S A ST, ELWOOD, IN 46036-1942
(765) 552-4000
Mailing address
7197 SOLUTION CTR, CHICAGO, IL 60677-7001
(317) 870-0480
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201073550A
IN
Enumeration date
01/25/2012
Last updated
01/11/2013
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