Provider Demographics
NPI:1811075948
Name:ASSOCIATES IN NEUROLOGY, P.C.
Entity type:Organization
Organization Name:ASSOCIATES IN NEUROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-476-7777
Mailing Address - Street 1:2000 ROOSEVELT RD
Mailing Address - Street 2:STE 201
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2800
Mailing Address - Country:US
Mailing Address - Phone:219-476-7777
Mailing Address - Fax:219-476-7120
Practice Address - Street 1:2000 ROOSEVELT RD
Practice Address - Street 2:STE 201
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2802
Practice Address - Country:US
Practice Address - Phone:219-476-7777
Practice Address - Fax:219-476-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN90001130OtherBCBS OF ILLINOIS PROV #
IN100208680Medicaid
INDA2288OtherRR MCARE
IN206230Medicare ID - Type Unspecified