| NPI | 1356525133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY N. TILAK President 219-922-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: IN 01054662A) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |