MEDICARE: PARKDALE CENTER LLC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558006007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKDALE CENTER LLC

Provider Business Mailing Address
First Line	:	350 INDIAN BOUNDARY RD
Second Line	:
City	:	CHESTERTON
State	:	IN
Zip	:	46304-1511
Country	:	US
Telephone Number	:	219-791-1006
Fax Number	:	219-929-5514

Provider Business Practice Location Address
First Line	:	350 INDIAN BOUNDARY RD
Second Line	:
City	:	CHESTERTON
State	:	IN
Zip	:	46304-1511
Country	:	US
Telephone Number	:	219-791-1006
Fax Number	:	219-929-5514

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	APRIL GILMAN
Credential	:
Telephone Number	:	219-791-1006

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	12/02/2025

Similar Medicare Providers

1023066784 — MIDWEST EYE CONSULTANTS, P.C.
Practice Location Address:

374 INDIAN BOUNDARY RD
CHESTERTON, IN
46304-1511

Practice Phone: 219-395-1575
Practice Fax: 219-395-1676

1366735458 — MRS. REBECCA A SASAK L.AC.
Practice Location Address:

368 INDIAN BOUNDARY RD
CHESTERTON, IN
46304-1511

Practice Phone: 219-728-1891
Practice Fax:

1568834992 — PARKDALE CENTER LLC
Practice Location Address:

350 INDIAN BOUNDARY RD
CHESTERTON, IN
46304-1511

Practice Phone: 888-883-8433
Practice Fax:

1164927612 — JASMINE DIXON LMHC
Practice Location Address:

350 INDIAN BOUNDARY RD
CHESTERTON, IN
46304-1511

Practice Phone: 888-883-8433
Practice Fax:

1730856824 — ALISA ORDZIEJEWSKI MA, LMHC-A, NCC
Practice Location Address:

350 INDIAN BOUNDARY RD
CHESTERTON, IN
46304-1511

Practice Phone: 888-883-8433
Practice Fax:

1134865322 — KIMBERLY LOUISE KEON
Practice Location Address:

350 INDIAN BOUNDARY RD
CHESTERTON, IN
46304-1511

Practice Phone: 219-308-1570
Practice Fax:

Directions to “PARKDALE CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.