# NWI HOME DOCTOR LLC

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

## Provider details

- **NPI number:** 1093212888
- **Authorized official:** PAUL OKOLOCHA (PRESIDENT)
- **Authorized official phone:** (219) 949-7540

## Contact information

- **Practice address:** 3847 EUCLID AVE, EAST CHICAGO, IN 46312-2332
- **Practice address phone:** (219) 949-7540
- **Mailing address:** 3847 EUCLID AVE, EAST CHICAGO, IN 46312-2332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2018
- **Last updated:** 04/09/2018