| NPI | 1134779622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURENDAR DWARAKANATH DWARAKANATH President 219-335-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |