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 |