| NPI | 1316762545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAP SHAH AO 219-802-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |