| NPI | 1871676064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKEADI MAURICE NDUKWU Owner 219-879-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 50004881A) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |