| NPI | 1811075948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL A DILLEY Practice Administrator 219-476-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2009-02-18 |