Organization
IN POST ACUTE SPECIALISTS, PC
Active
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
Update your record
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