Individual
IVAN L CHERMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7860 BURR ST, SCHERERVILLE, IN 46375-3402
(219) 864-2900
(219) 864-2910
Mailing address
55 E 86TH AVE, PO BOX 10645, MERRILLVILLE, IN 46410-6382
(219) 769-1670
(219) 738-6714
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
01025543
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01025543
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091542
ANTHEM
IN
05
—
100192070
—
IN
Enumeration date
09/19/2005
Last updated
10/18/2007
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