# NEUROPRAXIS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033307665
- **Authorized official:** DR. MARC DESHAIES MD (PRESIDENT)
- **Authorized official phone:** (773) 251-2719

## Contact information

- **Practice address:** 270 E 90TH DR, MERRILLVILLE, IN 46410-8102
- **Practice address phone:** (219) 736-6475
- **Mailing address:** PO BOX 11148, MERRILLVILLE, IN 46411-1148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007
