| NPI | 1083635551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W. SCHELLER Chief Operating Officier 219-921-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |