| 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 |