| NPI | 1184085201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA ROBINSON Owner 219-902-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036.130252) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |