Organization
MEDICI HEALTH CARE PROVIDERS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICIO ALEXANDRE CONSALTER M.D. (CEO/PRESIDENT)
(312) 733-2273
Entity
Organization
Contact information
Practice address
7863 BROADWAY, SUITE219, MERRILLVILLE, IN 46410-5553
(219) 769-8610
(219) 769-8625
Mailing address
7863 BROADWAY, SUITE219, MERRILLVILLE, IN 46410-5553
(219) 769-8610
(219) 769-8625
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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