| NPI | 1275246399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY TILAK Md 219-267-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2024-02-20 |