| NPI | 1366238669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED KAZMI Owner 219-285-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |