Organization
INDIANA PHYSICIAN MANAGEMENT-NORTHEAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART BICK MD (PRESIDENT)
(317) 870-6716
Entity
Organization
Contact information
Practice address
13861 OLIO RD, FISHERS, IN 46037-3487
(317) 870-6716
(317) 870-0499
Mailing address
4685 RELIABLE PKWY, CHICAGO, IL 60686-0001
(317) 870-6716
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200924740
—
IN
Enumeration date
10/10/2008
Last updated
04/18/2013
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