NPI | 1225144728 |
---|---|
Entity Type | Organization |
Authorized Contact | ZUHAIR ALSAKAJI Director 219-795-1660 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01046051A) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2008-11-04 |