MONROE MEDICAL ASSOCIATES SC NPI 1093752610

NPI Information

NPI: 1093752610
Provider Name: MONROE MEDICAL ASSOCIATES, SC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
801 MACARTHUR BLVD
SUITE 401
MUNSTER, IN
ZIP 46321
Phone: (219) 836-2860
Get Directions

MONROE MEDICAL ASSOCIATES, SC is a hematology and oncology internal medicine in Munster, IN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MONROE MEDICAL ASSOCIATES, SC NPI is 1093752610. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 MACARTHUR BLVD
SUITE 401
MUNSTER, IN
ZIP 46321-915
Phone: (219) 836-2860

The provider's authorized official is Mark F Kozloff .
The authorized official title is Ceo / Senior Partner and has the following contact phone number (708) 339-4800.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 10/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	042003867	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	437901	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MCARE GROUP PROV #
2	CE1551	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	R R MCARE GRP PROV #
3	626820	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	MCARE GROUP PROV #
4	1615180	OTHER	ILLINOIS	B C B S GRP PROV #
5	CA8459	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	R R MCARE GRP PROV #
6	100394430	MEDICAID	INDIANA
7	105630	OTHER	INDIANA	ANTHEM B S GRP PROV #
8	4269010003	MEDICARE NSC	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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