| NPI | 1619280120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY OKECHUKW ONYEUKWU Medical Doctor/Owner 219-397-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 01043017B) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01043017B) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-08-01 |