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1730884131
CHESTNUT HEALTH OF INDIANA PC
KOKOMO, IN
NPI
1730884131
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Entity Type
Organization
Authorized Contact
OMAIR SIRAJ
CEO
703-964-8199
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2023-04-04
Last Update Date
2023-07-11
Business Address
CHESTNUT HEALTH OF INDIANA PC
3518 S LAFOUNTAIN ST
KOKOMO, IN 46902-3803
Phone number: 765-453-4667
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Mailing Address
CHESTNUT HEALTH OF INDIANA PC
PO BOX 1294
BEDFORD PARK, IL 60499-1294
Phone number: 703-964-8199
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