| NPI | 1164833687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UJWALA S PURANIK COO/Administrator 219-476-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |