| NPI | 1144221821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY YESSENOW President 219-836-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 50002680A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 50002680A) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 50002680A) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2025-09-11 |