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Organization
219 HEALTH NETWORK INC
Active
Organization
219 HEALTH NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CORTES (EXECUTIVE DIRECTOR)
(219) 703-2585
Entity
Organization
Contact information
Practice address
100 W CHICAGO AVE STE F, EAST CHICAGO, IN 46312-3261
(219) 392-7016
Mailing address
100 W CHICAGO AVE STE F, EAST CHICAGO, IN 46312-3261
(219) 392-7016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QD0000X
Dental Clinic/Center
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/30/2018
Last updated
08/16/2024
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