| NPI | 1225256514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD VINCENT COVELLO President 219-836-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-11-17 |