Carlos, Ilona Marie

Carlos, Ilona Marie is an individual health care provider with primary practice located at 9054 Columbia Ave Ste B , Munster IN 46321-2905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carlos, Ilona Marie can be contacted via phone (219) 703-2426.

Contact Information

Primary practice address
9054 Columbia Ave Ste B Munster IN 46321-2905
Phone: (219) 703-2426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036101641 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01082896A Indiana

Profile Details

NPI number 1689709933
LBN Legal business name Carlos, Ilona Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Oct 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689709933 NPPES
Other 01630320 BCBS
Other 501046 BCBS
MEDICAID 036101641 BCBS

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