| NPI | 1801217856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMJAD ALKADRI CEO/Medical Director 219-736-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN 01052522A) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2014-04-04 |