| NPI | 1689624264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BOESE Administrator 219-310-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-02-25 |