Dr Mary Tilak P C

LBN: Dr Mary Tilak P C
Dr Mary Tilak P C is an health care organization with primary practice located at 2241 45Th St , Highland IN 46322-2601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as the primary health care specialty. Dr Mary Tilak P C can be contacted via phone (219) 922-8051, or through Tilak, Mary N. via phone (219) 922-8051.

Contact Information

Primary practice address
2241 45Th St Highland IN 46322-2601
Phone: (219) 922-8051
Fax: (219) 922-8608
Website:
Map and Directions
Authorized official contact:
Name: Tilak, Mary N. Doctor of Medicine (MD)
Phone: (219) 922-8051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X

Profile Details

NPI number 1003096900
LBN Legal business name Dr Mary Tilak P C
DBA Doing business as
Authorized official Tilak, Mary N. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2007
Last updated Apr 14th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003096900 NPPES
Indiana Other 000000541656 ANTHEM
Indiana Other 90001352 ANTHEM

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