# NORTHSHORE HEALTH CENTERS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NorthShore Regional Health Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104158377
- **Authorized official:** JANICE WILSON (CEO)
- **Authorized official phone:** (219) 764-5318

## Contact information

- **Practice address:** 8555 TAFT ST, MERRILLVILLE, IN 46410-6123
- **Practice address phone:** (219) 763-8812
- **Practice address fax:** (219) 764-3251
- **Mailing address:** PO BOX 1430, PORTAGE, IN 46368-9230
- **Mailing address phone:** (219) 764-5318
- **Mailing address fax:** (219) 764-3251

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 06/10/2010