Organization
DR. MARY TILAK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY N. TILAK MD (PRESIDENT)
(219) 922-8051
Entity
Organization
Contact information
Practice address
209 EAST 86TH AVENUE, MERRILLVILLE, IN 46322-2601
(219) 922-8051
(219) 922-8608
Mailing address
209 EAST 86TH AVENUE, MERRILLVILLE, IN 46322-2601
(219) 922-8051
(219) 922-8608
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
01054662A
IN
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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