| NPI | 1861568792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY YESSENOW President 219-922-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 50002680A) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 50002680A) |
| 208800000X Urology (Licence: IN 50002680A) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |