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Search › Indiana › 208000000X

Olivia Tack, M.D

NPI 1255371514 · on the registry since 2006

Practice

Address
6913 N Main St Ste 200
Granger, IN 46530
Phone
(574) 647-4540
Fax
(574) 647-2567
Organisation at this address
Beacon Medical Group, Inc.
Beacon Medical Group, Inc.
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana