| NPI | 1588016752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL OKOLOCHA Owner 219-949-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004976) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |