Organization
ASSOCIATES IN NEUROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL A DILLEY (PRACTICE ADMINISTRATOR)
(219) 476-7777
Entity
Organization
Contact information
Practice address
2000 ROOSEVELT RD, STE 201, VALPARAISO, IN 46383-2802
(219) 476-7777
(219) 476-7120
Mailing address
2000 ROOSEVELT RD, STE 201, VALPARAISO, IN 46383-2800
(219) 476-7777
(219) 476-7120
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100208680
—
IN
01
—
90001130
BCBS OF ILLINOIS PROV #
IN
01
—
DA2288
RR MCARE
IN
Enumeration date
11/02/2006
Last updated
02/18/2009
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