Organization · NPI-2

Calumet Quick Care Ltd

Family Medicine · Hammond, IN

NPI number1861150419
StatusActive
Last updated in NPPESDec 3, 2024

Details

NPI
1861150419
Entity type
Organization (NPI-2)
Legal business name
Calumet Quick Care Ltd
Organization subpart
No
Enumeration date
Dec 1, 2021
Certification date
Dec 3, 2024
Last updated
Dec 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

5518 Calumet Ave
Hammond, IN 46320-2017

Phone 219-803-0379

Mailing address

Po Box 786
Flossmoor, IL 60422-0786

Phone 219-803-0379 · Fax 865-381-0480

Authorized official

Richard O Watson
Owner
8888552995

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