Albert Willardo MD

General Practice Physician · Hammond, IN

Organization Active NPI

NPI number 1619155926

Practice location

7150 Indianapolis Blvd
Hammond, IN 46324-2245
Phone
(219) 845-2030
Fax
(219) 989-0257

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NPI record

NPI
1619155926
Entity type
Organization (Type 2)
Enumeration date
February 8, 2008
Last updated
February 8, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 01020554 IN

Mailing address

55 E 86TH Ave
PO Box 10645
Merrillville, IN 46410-6382
Phone
(219) 769-1670
Fax
(219) 738-6714

Authorized official

Name
Albert Willardo, MD
Title
Owner/Physician
Phone
(219) 845-2030

About Albert Willardo MD

Albert Willardo MD is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 7150 Indianapolis Blvd, Hammond, IN 46324-2245. The NPI number 1619155926 was assigned on February 8, 2008 and the record was last updated on February 8, 2008.

Albert Willardo MD lists a license in the registry: #01020554 (IN) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Albert Willardo, MD, Owner/Physician.

Frequently asked questions

What is the NPI number of Albert Willardo MD?

The NPI number is 1619155926.

What is the phone number of Albert Willardo MD?

The phone number listed for the practice location is (219) 845-2030.

Where is Albert Willardo MD located?

7150 Indianapolis Blvd, Hammond, IN 46324-2245.

What is the taxonomy code for Albert Willardo MD?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.