Provider Demographics
NPI:1265446611
Name:HEALTHCHEK LLC
Entity Type:Organization
Organization Name:HEALTHCHEK LLC
Other - Org Name:KASPRZAK, PRINCE & DHARLA LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KASPRZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-322-7041
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-0028
Mailing Address - Country:US
Mailing Address - Phone:219-322-7041
Mailing Address - Fax:
Practice Address - Street 1:2141 US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2805
Practice Address - Country:US
Practice Address - Phone:219-322-7041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01045179A305S00000X
IL336019925305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL211677Medicare PIN
MI0P23570Medicare PIN
INTA8080Medicare PIN
IN261230Medicare PIN
IL211674Medicare PIN
IL211675Medicare PIN
IL211676Medicare PIN