| NPI | 1609322890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA SHAREEF Owner/Provider 219-750-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01067804A) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2025-04-01 |