Organization
GENTILE HEALTHCARE , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY NICHOLAS GENTILE M.D.,PH.D (PRESIDENT)
(219) 865-9160
Entity
Organization
Contact information
Practice address
1001 MAIN ST, SUITE 2E, DYER, IN 46311-1234
(219) 865-9160
(219) 865-9251
Mailing address
1001 MAIN ST, SUITE 2E, DYER, IN 46311-1234
(219) 865-9160
(219) 865-9251
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082524
—
IL
05
—
100468800A
—
IN
Enumeration date
04/04/2006
Last updated
11/09/2009
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