| NPI | 1609165737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON KIGER President/CEO 219-464-7073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 02003571A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02003571A) |
| 208D00000X General Practice (Licence: IN 02003571A) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |