| NPI | 1316082266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY OKECHUKW ONYEUKWU Medical Director 219-884-3447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-02-16 |