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Organization

IN POST ACUTE SPECIALISTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREL DOTAS (CHIEF OPERATING OFFICER)
(352) 215-1603
Entity
Organization

Contact information

Practice address
10820 PARK PL STE 1230, SAINT JOHN, IN 46373-8630
(800) 411-6768
Mailing address
119 S WESTERN AVE UNIT 1, CHICAGO, IL 60612-4644
(800) 411-6768

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01073262A
INDIANA LICENSE
IN
05
300013555
IN
Enumeration date
12/18/2017
Last updated
12/16/2024
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