Provider Demographics
NPI:1306276852
Name:HEALTHCHEK LLC
Entity type:Organization
Organization Name:HEALTHCHEK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:KASPRZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-322-7041
Mailing Address - Street 1:2141 INDIANAPOLIS BLVD
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:46375-0028
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:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-055245305S00000X
MI4301038939305S00000X
IN01045179A305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
INTA8080Medicare PIN
IL211677Medicare PIN
IL211674Medicare PIN
IL211676Medicare PIN
IL211675Medicare PIN
IN261230Medicare PIN
MIOP23570Medicare PIN