Organization
INDIGO PARTNERS LLC
Active
Organization
INDIGO PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY TILAK (MD)
(219) 267-1799
Entity
Organization
Contact information
Practice address
9410 CALUMET AVE, SUITE 201, MUNSTER, IN 46321
(219) 267-1799
Mailing address
PO BOX 3354, MUNSTER, IN 46321-0354
(219) 267-1799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
02/20/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up