| NPI | 1801053426 |
|---|---|
| Doing Business As | COMMUNITY CARE NETWORK |
| Entity Type | Organization |
| Authorized Contact | DONALD P FESKO CEO 219-836-1600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2011-04-27 |