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Organization

ASSOCIATED PEDIATRICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JILL ANN WALKER (MEDICAID TRICARE SERVICES MANAGER)
(219) 531-7492
Entity
Organization

Contact information

Practice address
3630 WILLOWCREEK RD, SUITE 6, PORTAGE, IN 46368-5075
(219) 531-7492
(219) 548-3681
Mailing address
1101 GLENDALE BLVD, SUITE 101, VALPARAISO, IN 46383-3767
(219) 531-7492
(219) 548-3681

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
12/05/2006
Last updated
08/22/2020
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