| NPI | 1609107499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY GUPTA CEO And President 219-934-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |