| NPI | 1144417098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE D BROWN Physician/Owner 219-887-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01045570B) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2023-03-07 |