Organization
ILLIANA SURGERY AND MEDICAL CENTER, LLC
Active
Organization
ILLIANA SURGERY AND MEDICAL CENTER, LLC
Active
Other names
The Orthopedic Centers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY GUPTA M.D. (CEO)
(219) 922-4200
Entity
Organization
Contact information
Practice address
6375 US HIGHWAY 6, STE 3, PORTAGE, IN 46368-5111
(219) 641-3051
Mailing address
701 SUPERIOR AVE, ATTN: MANAGED CARE, MUNSTER, IN 46321-4037
(219) 641-3051
(219) 641-4186
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IN
Other
Enumeration date
07/26/2005
Last updated
08/22/2020
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