| NPI | 1033127691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE K VRANISKOSKI Office Manager 219-836-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01042561) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01047569) |
| 207Q00000X Family Medicine (Licence: IL 036100077) | |
| 207R00000X Internal Medicine (Licence: IN 01042561) | |
| 207R00000X Internal Medicine (Licence: IL 036097164) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036097164) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-06-03 |