NPI | 1740058064 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET MCBRIDE-BAILEY Office Manager 219-301-6601 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2023-12-15 |
Last Update Date | 2023-12-15 |