| NPI | 1548591845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE NOOTENS Office Manager 219-513-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01042703) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2021-03-16 |