Organization
DALAL MEDICAL CORPORATION
Active
Other names
Digestive Disease Center, Centers for Digestive Health
Organization subpart
No
Provider details
NPI number
Authorized official
JASON L BAKER (PRACTICE MANAGER)
(219) 682-0464
Entity
Organization
Contact information
Practice address
9410 CALUMET AVE STE 401, MUNSTER, IN 46321-0018
(219) 922-4900
(219) 836-9922
Mailing address
9410 CALUMET AVE STE 401, MUNSTER, IN 46321-0018
(219) 922-4900
(219) 836-9922
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IN
208C00000X
Colon & Rectal Surgery Physician
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200007800
—
IN
01
—
91108144
BCBS OF IL
IL
Enumeration date
06/21/2006
Last updated
08/13/2024
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