NPI | 1861567695 |
---|---|
Entity Type | Organization |
Authorized Contact | ASRAR AHMED SHEIKH CEO 219-769-6545 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01060322A) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: IN 01060322A) |
363A00000X Physician Assistant (Licence: IN 01060322A) | |
363LF0000X Nurse Practitioner, Family (Licence: IN 01060322A) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2016-05-16 |