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NPI 1245217215

NPI 1245217215 : INFECTIOUS DISEASE SPECIALISTS PC : MERRILLVILLE, IN

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General NPI Number Information
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    NPI Number           |    1245217215
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    Entity Type          |    Organization 
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    Legal Business Name  |    INFECTIOUS DISEASE SPECIALISTS PC 
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Dates
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    Enumeration Date     |    12/29/2005
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    Last Update Date     |    07/31/2025
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Provider Practice Location Address
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    Address Line         |    200 E 86TH PL 
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    City                 |    MERRILLVILLE
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    State                |    IN
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    Zip                  |    46410-6258
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    Country              |    US
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    Telephone            |    219-972-1547
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    Fax                  |    219-972-1651
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Provider Business Mailing Address
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    Address Line         |    PO BOX 10667 
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    City                 |    MERRILLVILLE
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    State                |    IN
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    Zip                  |    46411-0667
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    Country              |    US
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    Telephone            |    219-738-6726
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    Fax                  |    219-738-6716
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Authorized Official
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    Title or Position    |    MD/PRESIDENT
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    Name                 |     THOMAS K. SLEWEON 
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    Credential           |    MD
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    Telephone            |    219-972-1547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    
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    License Number State |    IN
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