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Gary City Working And Procedure Clinic LLC-S

Family Medicine in Gary, IN. Organization (NPI-2).

NPI number1164033676
StatusActive
Last updated in NPPESFeb 8, 2023

Details

NPI
1164033676
Entity type
Organization (NPI-2)
Legal business name
Gary City Working And Procedure Clinic LLC-S
Organization subpart
No
Enumeration date
Aug 10, 2020
Certification date
Feb 8, 2023
Last updated
Feb 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Gary City Urgent And Immediate Care LLC (Other Name)

Practice location

1701 Broadway
Gary, IN 46407-2238

Phone 219-882-0980

Mailing address

1701 Broadway
Gary, IN 46407-2238

Phone 219-882-0980

Authorized official

Paul Okolocha
Owner
2198820980

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Other Family Medicine Physician providers in Gary, IN

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