| NPI | 1619911443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY M SALBERG President 219-769-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 50002000A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 50002000A) |
| 207R00000X Internal Medicine (Licence: IN 50002000A) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-06-23 |