NPI 1255655577

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Organisation Point of Service Terre Haute, IN

Practice location

Address: 600 Old Royse Rd, Terre Haute, IN 47802-4435
Phone: (224) 764-9189
Mailing address: 855 E Golf Rd Suite 2131, Arlington Heights, IL 60005-5222

Authorised official

Name: Fina R Javier
Title: Vice President
Phone: (312) 532-5063

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Indiana →

Registry record

NPI: 1255655577
Entity type: Organization
NPI issued: 15 Mar 2010
Record last updated: 15 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.