Healthcare Provider Details
I. General information
NPI: 1265446611
Provider Name (Legal Business Name): HEALTHCHEK LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2006
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
320 E US HIGHWAY 30
SCHERERVILLE IN
46375-2654
US
IV. Provider business mailing address
PO BOX 28
SCHERERVILLE IN
46375-0028
US
V. Phone/Fax
- Phone: 219-322-7041
- Fax: 219-322-8918
- Phone: 219-322-7041
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | 01045179A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | 336019925 |
| License Number State | IL |
VIII. Authorized Official
Name:
DAWN
KASPRZAK
Title or Position: PRESIDENT
Credential:
Phone: 219-322-7041