NPI | 1942321294 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFREY OKECHUKWU ONYEUKWU President 219-884-3447 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN 01043017A) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2008-06-30 |