# OTOLARYNGOLOGY ASSOCIATES OF NORTHWEST INDIANA LLC

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

## Provider details

- **NPI number:** 1124782842
- **Authorized official:** BRIDGET ST. PIERRE (OFFICE MANAGER)
- **Authorized official phone:** (219) 836-9368

## Contact information

- **Practice address:** 2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
- **Practice address phone:** (219) 836-9368
- **Practice address fax:** (219) 836-9357
- **Mailing address:** 2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
- **Mailing address phone:** (219) 836-9368
- **Mailing address fax:** (219) 836-9357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 225100000X | Physical Therapist | — | — | — |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2021
- **Last updated:** 06/17/2022