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Contact Information

DAVID J GORECKI, MD
901 LINCOLNWAY
SUITE 310
LA PORTE, IN46350-3430
 Phone: 219-362-7506
 Fax: 219-362-1459
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DAVID J GORECKI · (Male)

NPI # 1316923444
Status Active
Credentials MD
Entity Individual
Enumeration date 12/20/2005
Last updated 09/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036 070820
  • IN License # 01038951
  • IN Medicaid 10016541A
  • IN Other 000000514107 ANTHEM, BCBS
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL - (Acute Care)
    1007 LINCOLNWAY
    LA PORTE, IN 46350
  • INDIANA UNIVERSITY HEALTH STARKE HOSPITAL - (Acute Care)
    102 E CULVER RD
    KNOX, IN 46534
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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