| NPI | 1952674129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY O IWUAGWU President 219-944-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |