# 219 HEALTH NETWORK INC

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

## Provider details

- **NPI number:** 1093213506
- **Authorized official:** WILLIAM CORTES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (219) 703-2585

## Contact information

- **Practice address:** 100 W CHICAGO AVE STE F, EAST CHICAGO, IN 46312-3261
- **Practice address phone:** (219) 392-7016
- **Mailing address:** 100 W CHICAGO AVE STE F, EAST CHICAGO, IN 46312-3261
- **Mailing address phone:** (219) 392-7016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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
