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Organization

FIVE APPLES INPATIENT SPECIALIST INDIANA CORPORATION

Active
Parent organization
FIVE APPLES INPATIENT SPECIALIST
Organization subpart
Yes

Provider details

NPI number
Legal business name
FIVE APPLES INPATIENT SPECIALIST
Authorized official
MR. TERRILL APPLEWHTE M.D. (OWNER/PHYSICIAN)
(815) 937-7962
Entity
Organization

Contact information

Practice address
600 GRANT ST, GARY, IN 46402-6001
(815) 937-7962
(815) 936-8650
Mailing address
400 N WALL ST, SUITE 308, KANKAKEE, IL 60901-2940
(815) 937-7962
(815) 936-8650

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01067111A
IN

Other

Enumeration date
08/20/2009
Last updated
08/20/2009
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