| NPI | 1528249703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ANIGBO Doctor 219-882-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IN 01044809) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-12-07 |