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Contact Information

MONROE MEDICAL ASSOCIATES, SC
1600 S LAKE PARK AVE
SUITE 1101
HOBART, IN46342-6641
 Phone: 219-947-1795
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MONROE MEDICAL ASSOCIATES, SC

NPI Number 1386686145
LBN Legal business name MONROE MEDICAL ASSOCIATES, SC
Authorized official MARK KOZLOFF - (CEO / SENIOR PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2006
Last updated 10/07/2010 - About 16 years ago
Identifiers
IL License # 042003867
IN Medicaid 100394430
IN Other 105630 ANTHEM B S GRP PROV #
IN Other 90001238 BCBS IL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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