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Occu-Med PC

Internal Medicine in Whiting, IN. Organization (NPI-2).

NPI number1295037232
StatusActive
Last updated in NPPESOct 14, 2015

Details

NPI
1295037232
Entity type
Organization (NPI-2)
Legal business name
Occu-Med PC
Organization subpart
No
Enumeration date
Nov 24, 2010
Last updated
Oct 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

2230 Indianapolis Blvd
Whiting, IN 46394-1956

Phone 219-659-0333 · Fax 219-659-0336

Mailing address

Po Box 699
Worth, IL 60482-0699

Phone 219-659-0333 · Fax 219-659-0336

Authorized official

Nidal Hasan
President
2196590333

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