| NPI | 1326058884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LONGLEY President 219-836-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2010-10-06 |