| NPI | 1780434282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET GRAHAM Administrator 219-203-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-04-10 |