| NPI | 1831267715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY YESSENOW President 219-922-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
| 208800000X Urology | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |