| NPI | 1265485635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREN GEGENHEIMER CFO 219-934-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 50002494A) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IN 50002494A) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 50002494A) | |
| 207Q00000X Family Medicine (Licence: IN 50002494A) | |
| 207R00000X Internal Medicine (Licence: IN 50002494A) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 50002494A) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IN 50002494A) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 50002494A) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 50002494A) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IN 50002494A) | |
| 208000000X Pediatrics (Licence: IN 50002494A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN XF200828) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: IN 50002494A) | |
| 213E00000X Podiatrist (Licence: IN 07000920A) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-11-06 |