Organization · NPI-2

219 Health Network INC

Family Medicine · East Chicago, IN

NPI number1538724075
StatusActive
Last updated in NPPESMay 9, 2019

Details

NPI
1538724075
Entity type
Organization (NPI-2)
Legal business name
219 Health Network INC
Organization subpart
No
Enumeration date
May 9, 2019
Last updated
May 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2020 E Columbus Dr Ste A
East Chicago, IN 46312-2830

Phone 219-703-2583 · Fax 219-703-6749

Mailing address

100 W Chicago Ave Ste F
East Chicago, IN 46312-3261

Phone 219-703-2583 · Fax 219-702-6749

Authorized official

Ibrahim Mohammed Najamuddin
Executive Director
2197032585

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