| NPI | 1184921652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORANU G IBEKIE Md 219-769-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2019-04-24 |