Icp PPO, LLC
Icp PPO, LLC is a Specialist in South Bend, Indiana. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
211 N Eddy StSouth Bend, IN 46617-2808
Phone: (574) 234-8161
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X |
|---|---|
| Specialist | Taxonomy 174400000X |
Record details
| NPI number | 1407443617 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Macken - Marble — President · (218) 393-1566 |
| NPI enumerated | December 22, 2020 |
| Last updated in NPPES | December 22, 2020 |
| Certification date | December 22, 2020 |
| Mailing address | 413 W Montgomery Xrd Ste 602, Savannah, GA 31406-3396 |
Other providers in South Bend
-
Tyra Denee Gaylord, MD
615 N Michigan St, South Bend, IN 46601-1033 · (574) 647-1000
-
Mrs. Stacey P Goodman, COTA
926 E Wayne St, South Bend, IN 46617-3000 · (574) 233-8812
-
Dr. Joseph Harmon, MD
6301 University Commons Ste 310, South Bend, IN 46635-1571 · (574) 232-1471
-
Mrs. Renee L Hensley, PT
411 E Ireland Rd Ste 400, South Bend, IN 46614-2680 · (574) 231-8950
-
Integrative Care Partners LLC
211 N Eddy St, South Bend, IN 46617-2808 · (574) 234-8161
-
Lisa James, PT
60660 Gentle Run Ct, South Bend, IN 46614-5185 · (574) 210-6010
-
Dr. John L Jenkins, MD
621 Memorial Dr Ste 502, South Bend, IN 46601-1075 · (574) 234-9001
-
Dr. Thomas R. Keucher, MD
100 Navarre Pl Ste 6600, South Bend, IN 46601-1156 · (574) 232-7227