Provider Demographics
NPI:1013425479
Name:MI POST ACUTE SPECIALISTS PC
Entity Type:Organization
Organization Name:MI POST ACUTE SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-215-1603
Mailing Address - Street 1:222 MERCHANDISE MART PLZ STE 1230
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-4342
Mailing Address - Country:US
Mailing Address - Phone:800-411-6768
Mailing Address - Fax:855-751-8051
Practice Address - Street 1:707 ARMSTRONG RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-3906
Practice Address - Country:US
Practice Address - Phone:800-411-6768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty