| NPI | 1568284339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD MUHAMMAD SALAH Owner 219-736-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |