NPI | 1225684368 |
---|---|
Doing Business As | NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC |
Entity Type | Organization |
Authorized Contact | CHARISSE PHIPPS Contractor 630-974-5236 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology |
Enumeration Date | 2019-08-14 |
Last Update Date | 2021-11-02 |