| NPI | 1225348733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA VOLK Executive Vice President 219-326-2489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003388) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-20 |