Henderson, Theresa S
MD, PEDIATRICS
Hendricks Regional Health dba Hendricks Pediatrics
8244 E US 36 Ste 210, Avon, IN 46123
Effective Date: 8/7/2007
TIN: 351361243
Botkin, Jennifer K
MD, PEDIATRICS
Hendricks Regional Health dba Hendricks Pediatrics
8244 E US Hwy 36 Ste 210, Avon, IN 46123
Effective Date: 8/7/2007
TIN: 351361243
Crill, Erin A
MD, PEDIATRICS
Franciscan Physician Network
2150 Gettler St Ste 255, Dyer, IN 46311
Effective Date: 1/1/2012
TIN: 611630276
Anderson, Rosa M
MD, PEDIATRICS
Community Hospitals of IN Inc
10122 E 10th St Ste 240, Indianapolis, IN 46229
Effective Date: 9/1/2007
TIN: 320073095
Roome, Mark L
MD, PEDIATRICS
QV Inc
19550 Governor s Hwy Ste 2500, Flossmoor, IL 60422
Effective Date: 8/1/2007
TIN: 363519484
Townsend, David S
MD, PEDIATRICS
QV Inc
19550 Governor s Hwy Ste 2500, Flossmoor, IL 60422
Effective Date: 8/1/2007
TIN: 363519484
Dorsey, Lawrence
MD, PEDIATRICS
Child Life Center
19550 Governor s Hwy Ste 2500, Flossmoor, IL 60422
Effective Date: 8/1/2007
TIN: 363519484
Shi, Yingshan
MD, PEDIATRICS
QV Inc
1301A East 47th St, Chicago, IL 60615
Effective Date: 8/1/2007
TIN: 363519484
Olaleye, Caroline
MD, PEDIATRICS
UCPG - Lake
1301A East 47th St, Chicago, IL 60615
Effective Date: 8/1/2007
TIN: 363519484
Selig, Julie I
MD, PEDIATRICS
Child Life Center
19550 Governor s Hwy Ste 2500, Flossmoor, IL 60422
Effective Date: 8/1/2007
TIN: 363519484
Gutierrez, Theresa A
MD, PEDIATRICS
Ft Wayne Pediatrics PC
2810 Dupont Commerce Ct, Fort Wayne, IN 46825
Effective Date: 8/7/2001
TIN: 351427012
Duncan-Sampson, Tilly
MD, PEDIATRICS
Kidz Paradise Pediatrics
3275 W Elm St, Lima, OH 45805
Effective Date: 11/1/2006
TIN: 205208316
Mohanty, Rajashree B
MD, PEDIATRICS
Community Hospitals of IN Inc
107 N State Rd 135 Ste 102, Greenwood, IN 46142
Effective Date: 1/1/2008
TIN: 300169030
Moustafa, Usama M
MD, PEDIATRICS
LaPorte Clinic Company LLC
1509 State St, LaPorte, IN 46350
Effective Date: 1/1/2009
TIN: 810745237
Kuonen, Elizabeth A
MD, PEDIATRICS
Eskenazi Medical Group
9443 E 38th St, Indianapolis, IN 46236
Effective Date: 7/1/2008
TIN: 351693695
Kuonen, Elizabeth A
MD, PEDIATRICS
Eskenazi Medical Group
550 University Blvd, Indianapolis, IN 46202
Effective Date: 7/1/2008
TIN: 351693695
Kuonen, Elizabeth A
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd PCC 2nd Fl, Indianapolis, IN 46202
Effective Date: 7/1/2008
TIN: 351693695
Kuonen, Elizabeth A
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd PCC 1st Fl, Indianapolis, IN 46202
Effective Date: 7/1/2008
TIN: 351693695
Kuonen, Elizabeth A
MD, PEDIATRICS
Eskenazi Medical Group
702 Barnhill Dr, Indianapolis, IN 46202
Effective Date: 7/1/2008
TIN: 351693695
Kuonen, Elizabeth A
MD, PEDIATRICS
Eskenazi Medical Group
1001 W 10th St, Indianapolis, IN 46202
Effective Date: 7/1/2008
TIN: 351693695
Porter, David H
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd 2nd Fl, Indianapolis, IN 46202
Effective Date: 10/1/2002
TIN: 351693695
Richeson, Coby T
MD, PEDIATRICS
Eskenazi Medical Group
6620 Parkdale Place Ste D, Indianapolis, IN 46254
Effective Date: 10/1/2002
TIN: 351693695
Richeson, Coby T
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd PCC 2nd Fl, Indianapolis, IN 46202
Effective Date: 10/1/2002
TIN: 351693695
Richeson, Coby T
MD, PEDIATRICS
Eskenazi Medical Group
1115 Ronald Reagan Pkwy, Avon, IN 46123
Effective Date: 10/1/2002
TIN: 351693695
Richeson, Coby T
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd 2nd Fl, Indianapolis, IN 46202
Effective Date: 10/1/2002
TIN: 351693695
Richeson, Coby T
MD, PEDIATRICS
Eskenazi Medical Group
1111 Ronald Reagan Pkwy, Avon, IN 46123
Effective Date: 10/1/2002
TIN: 351693695
Porter, David H
MD, PEDIATRICS
Eskenazi Medical Group
5550 S East St Ste I, Indianapolis, IN 46227
Effective Date: 10/1/2002
TIN: 351693695
Richeson, Coby T
MD, PEDIATRICS
Eskenazi Medical Group
6447 S East St, Indianapolis, IN 46227
Effective Date: 10/1/2002
TIN: 351693695
Wilson, Jane E
MD, PEDIATRICS
Eskenazi Medical Group
5550 S East St Ste I, Indianapolis, IN 46227
Effective Date: 6/4/2007
TIN: 351693695
Vyas, Dipti
DO, PEDIATRICS
Community Hospitals of IN Inc
6925 S Harding St Ste B1, Indianapolis, IN 46217
Effective Date: 5/1/2008
TIN: 202683941
Bukata, Pablo A
MD, PEDIATRICS
Associated Pediatricians LLC
1101 E Glendale Blvd Ste 101, Valparaiso, IN 46383
Effective Date: 11/1/2008
TIN: 351582506
Bishop, Susan L
MD, PEDIATRICS
Associated Pediatricians LLC
1111 Glendale Blvd Ste 101, Valparaiso, IN 46383
Effective Date: 11/1/2008
TIN: 351582506
Bishop, Susan L
MD, PEDIATRICS
Associated Pediatricians LLC
3630 Willowcreek Rd Ste 6, Portage, IN 46368
Effective Date: 11/1/2008
TIN: 351582506
Campbell, Elizabeth K
MD, PEDIATRICS
Associated Pediatricians LLC
3630 Willowcreek Rd Ste 6, Portage, IN 46368
Effective Date: 11/1/2008
TIN: 351582506
Bukata, Pablo A
MD, PEDIATRICS
Associated Pediatricians LLC
3630 Willowcreek Rd Ste 6, Portage, IN 46368
Effective Date: 11/1/2008
TIN: 351582506
Brogan, Dianna W
MD, PEDIATRICS
Associated Pediatricians LLC
3630 Willowcreek Rd Ste 6, Portage, IN 46368
Effective Date: 11/1/2008
TIN: 351582506
Campbell, Elizabeth K
MD, PEDIATRICS
Associated Pediatricians LLC
1101 E Glendale Blvd Ste 101, Valparaiso, IN 46383
Effective Date: 11/1/2008
TIN: 351582506
Brogan, Dianna W
MD, PEDIATRICS
Associated Pediatricians LLC
1101 E Glendale Blvd Ste 101, Valparaiso, IN 46383
Effective Date: 11/1/2008
TIN: 351582506
Butchko, Gary J
MD, PEDIATRICS
Mercy Defiance Clinic
1426 N Scott St, Napoleon, OH 43545
Effective Date: 1/1/2012
TIN: 320350047
Butchko, Gary J
MD, PEDIATRICS
Mercy Defiance Clinic
1400 E Second St, Defiance, OH 43512
Effective Date: 1/1/2012
TIN: 320350047
Hill-Birk, Jennifer S
MD, PEDIATRICS
Community Hospitals of IN Inc
8150 Oaklandon Rd #130, Indianapolis, IN 46236
Effective Date: 5/1/2007
TIN: 352203133
Hamzeh, Halah
MD, PEDIATRICS
Southlake Pediatrics PC
99 E 86th Ave Ste D, Merrillville, IN 46410
Effective Date: 4/1/2009
TIN: 204119121
Amin, Shama A
MD, PEDIATRICS
Amin & Amin MD Inc
2455 Balyeat Dr, Lima, OH 45805
Effective Date: 8/1/2004
TIN: 341335288
Magee, Vallery M
MD, PEDIATRICS
Eskenazi Medical Group
1001 Hadley Rd, Mooresville, IN 46158
Effective Date: 8/1/2005
TIN: 351693695
Drake, Terrence J
MD, PEDIATRICS
Eskenazi Medical Group
2505 N Arlington, Indianapolis, IN 46219
Effective Date: 7/1/1996
TIN: 351693695
Kramer, Clark E
MD, PEDIATRICS
Franciscan Physician Network
300 W 80th Place, Merrillville, IN 46410
Effective Date: 10/1/2012
TIN: 611630276
Uzelac, Biljana
MD, PEDIATRICS
Franciscan Physician Network
2001 US 41, Schererville, IN 46375
Effective Date: 10/1/2012
TIN: 611630276
Kurtz, Natalie A
MD, PEDIATRICS
PrimeCare Physicians Network
1852 Ashburn Dr, Goshen, IN 46526
Effective Date: 7/29/2019
TIN: 351974765
Gill, Mohanjit S
MD, PEDIATRICS
Community Howard Physicians Network LLC
3506 S Lafountain St, Kokomo, IN 46902
Effective Date: 5/1/2013
TIN: 462962374
Jones, Radcliffe D
MD, PEDIATRICS
Community Howard Physicians Network LLC
3506 S Lafountain St, Kokomo, IN 46902
Effective Date: 5/1/2013
TIN: 462962374
Lahr, Tiffany
MD, PEDIATRICS
PrimeCare Physicians Network
1852 Ashburn Dr, Goshen, IN 46526
Effective Date: 10/30/2013
TIN: 351974765
Brown, Kimberly
MD, PEDIATRICS
ABC Pediatrics PC
6750 Calumet Ave, Hammond, IN 46324
Effective Date: 9/10/2013
TIN: 800579306
Ololade, Omiyosoye A
MD, PEDIATRICS
Franciscan Physician Network
11355 W 97th Lane, Saint John, IN 46373
Effective Date: 2/1/2014
TIN: 611630276
Greenberg, Mark L
MD, PEDIATRICS
Franciscan Physician Network
7310 W Lincoln Hwy, Crown Point, IN 46307
Effective Date: 5/1/2013
TIN: 352074283
Tarin, Kunteera V
MD, PEDIATRICS
Indiana Sports & Medical Science Institute PC
11275 Delaware Pkwy, Crown Point, IN 46307
Effective Date: 10/3/2017
TIN: 452682269
Kashk, Hussein L
MD, PEDIATRICS
St Rita s Professional Services
1800 E Fifth St, Delphos, OH 45833
Effective Date: 7/15/2017
TIN: 262788491
Kashk, Hussein L
MD, PEDIATRICS
St Rita s Professional Services
967 Bellefontaine Ave, Lima, OH 45804
Effective Date: 7/15/2017
TIN: 262788491
Kashk, Hussein L
MD, PEDIATRICS
St Rita s Professional Services
2195 Allentown Rd, Lima, OH 45805
Effective Date: 7/15/2017
TIN: 262788491
Gill, Mohanjit S
MD, PEDIATRICS
North Central Indiana Pediatric Center
3506 S Lafountain St, Kokomo, IN 46902
Effective Date: 5/1/2013
TIN: 352205867
Esan, Grace
MD, PEDIATRICS
North Central Indiana Pediatric Center
3506 S Lafountain St, Kokomo, IN 46902
Effective Date: 5/1/2013
TIN: 352205867
(6 of 13)