| NPI | 1760607279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER ISAILY President CEO 219-884-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-06-10 |