| NPI | 1609233212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY CHASE Nurse Practitioner 219-873-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IN 281627557A) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |