| NPI | 1881046308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAIL E ASFOUR Owner/Physician 219-923-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01053031A) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2019-04-12 |