| NPI | 1528248242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ANNE LONGACRE Administrative Assistant 219-736-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: 01056231A) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2009-11-11 |