| NPI | 1518690296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMAN DAVID SOLEYMANI Owner/Lead Physician 219-228-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-10-21 |