Organization
IYENGAR GERIATRIC HOSPITALIST SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANILO R COITE (ACCESS MANAGER)
(775) 848-1032
Entity
Organization
Contact information
Practice address
10343 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-3638
(773) 697-3729
Mailing address
1740 OAK AVE STE C1C2, EVANSTON, IL 60201-5989
(773) 697-3729
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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