| NPI | 1093074155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY FREEZE Practice Administrator 219-926-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036101942) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-11-09 |