| NPI | 1467623066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON K MCCARTHY President 219-769-4371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01031401A) |
| Enumeration Date | 2008-03-22 |
| Last Update Date | 2008-03-22 |