| NPI | 1609825686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZZAL OBAID Medical Director 219-769-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-12-26 |