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DR MARY TILAK P C — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, IN)

DR MARY TILAK P C — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, IN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: DR MARY TILAK P C; Type: Organization; NPI: 1003096900.

NameDR MARY TILAK P C
TypeOrganization
NPI1003096900
Provider typePART B SUPPLIER - CLINIC/GROUP PRACTICE
StateIN
Enrollment IDO20071207000544
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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