| NPI | 1821597485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOOD GHIYATH ALNAHASS President 219-531-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01055878A) |
| Additional Taxonomies | 2084N0600X (Licence: IN 01055878A) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2023-12-21 |