Mary Tilak is a Internal Medicine in Highland, Indiana. Mary Tilak practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mary Tilak is 1518054352. The last update date is 2011-04-14.
Mary Tilak's current location address is 2241 45th St, Highland, Indiana. You can contact this provider via phone number 2199228051 and fax number 2199228608. The mailing address for Mary Tilak is 2241 45th St, Highland, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Tilak |
|---|---|
| Address | 2241 45th St, Highland, Indiana |
| Phone Number | 2199228051 |
| Fax Number | 2199228608 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518054352 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2011-04-14 |
Provider Mailing Address Detail
| Address | 2241 45th St |
|---|---|
| City | Highland |
| State | Indiana (IN) |
| Post Code | 463222601 |
| Phone Number | 2199228051 |
| Fax Number | 2199228608 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 01054662A |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200339190 | IN | -- | |
| 350970 | IN | ANTHEM | |
| 90001352 | IL | BC/BS | |
| 541656 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Tilak by the Centers for Medicare & Medicaid Services?
The Mary Tilak has been issued the NPI (National Provider Identifier) 1518054352 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mary Tilak?
The Mary Tilak is situated at 2241 45Th St, in the city of Highland, state of IN, with the zip code 463222601.
What is the Mary Tilak's area of specialization and corresponding taxonomy classification?
The Mary Tilak's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did Mary Tilak receive its 1518054352 assignment from the Centers for Medicare & Medicaid Services?
The Mary Tilak was assigned its 1518054352 on 2006-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mary Tilak most recently updated or revised?
The information pertaining to Mary Tilak, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-14.
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