| NPI | 1528623824 |
|---|---|
| Doing Business As | 219 HEALTH NETWORK INC. |
| Entity Type | Organization |
| Authorized Contact | IBRAHIM MOHAMMED NAJAMUDDIN Executive Director 219-703-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |