MEDICARE: VISHAR MEDICAL CENTER SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CL8627	OTHER	IL	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1083667794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISHAR MEDICAL CENTER SC

Provider Business Mailing Address
First Line	:	PO BOX 10428
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46411-0428
Country	:	US
Telephone Number	:	219-681-2065
Fax Number	:	219-681-2066

Provider Business Practice Location Address
First Line	:	2315 E 93RD ST
Second Line	:	SUITE 340
City	:	CHICAGO
State	:	IL
Zip	:	60617-3910
Country	:	US
Telephone Number	:	773-721-0322
Fax Number	:	773-721-1471

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VIJAY PATEL
Credential	:	M.D.
Telephone Number	:	773-721-0322

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	01/31/2008

Similar Medicare Providers

1326097585 — VIJAY PATEL M.D.
Practice Location Address:

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1023060837 — PATEL & ASSOCIATES, M.D. S.C.
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1588618094 — MCGUIRE MEDICAL SC
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1851337729 — MIDWEST PHYSICIANS NETWORK INC
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1376546382 — DR. MICHAEL C GRIFFIN D.M.D.
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Directions to “VISHAR MEDICAL CENTER SC ” Practice Location

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