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Organization

SUNITI MEDICAL CORPORATION

Active
Other names
premier oncology hematology associates
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY BENDT (PRACTICE MANAGER)
(219) 736-2800
Entity
Organization

Contact information

Practice address
929 RIDGE RD, SUITE 5, MUNSTER, IN 46321-1751
(219) 836-2000
(219) 836-8272
Mailing address
200 E 89TH AVE, SUITE 2A, MERRILLVILLE, IN 46410-7319
(219) 736-2800
(219) 736-6680

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0448072681
IL MEDICAID
IL
05
100201480A
IN
01
91115213
BCBS IL
IL
01
CM0856
RAILROAD MEDICARE
IN
Enumeration date
05/21/2007
Last updated
05/07/2008
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