MEDICARE: HEALTH & ONCOLOGY SERVICES, INC

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	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801851241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH & ONCOLOGY SERVICES, INC

Provider Business Mailing Address
First Line	:	1190 N STATE ROAD 49
Second Line	:
City	:	PORTER
State	:	IN
Zip	:	46304-1368
Country	:	US
Telephone Number	:	219-926-2146
Fax Number	:	219-926-3721

Provider Business Practice Location Address
First Line	:	1190 N STATE ROAD 49
Second Line	:
City	:	PORTER
State	:	IN
Zip	:	46304-1368
Country	:	US
Telephone Number	:	219-926-2146
Fax Number	:	219-926-3721

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARY Y KLEIN
Credential	:	M.D.
Telephone Number	:	219-926-2146

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	08/26/2008

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Directions to “HEALTH & ONCOLOGY SERVICES, INC ” Practice Location

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