Individual provider · NPI-1

Kwame G. Foucher, M.D.

Family Medicine · Hammond, IN

NPI number1336209527
StatusActive
Last updated in NPPESDec 23, 2015

Details

NPI
1336209527
Entity type
Individual (NPI-1)
Name
Kwame G. Foucher
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 11, 2006
Last updated
Dec 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01076051AINYes
207Q00000X Family Medicine036-114411IL

Practice location

559 State St
Hammond, IN 46320-1533

Phone 219-937-3300 · Fax 219-803-7252

Mailing address

3241 S Michigan Ave
Chicago, IL 60616-3878

Phone 312-949-7770 · Fax 312-949-7742

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