| NPI | 1629235403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROON NAZ CEO 219-756-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IN IN01028333) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-08-28 |