| NPI | 1952587776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY YESSENOW President 219-513-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 01030811A) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-04-29 |