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Organization
CHUBE2 PRIMARY CARE LLC
Active
Organization
CHUBE2 PRIMARY CARE LLC
Active
Other names
Chube2 Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL HUNT (BILLING MANAGER)
(219) 201-8178
Entity
Organization
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 201-8178
Mailing address
1024 KILLARNEY DR, DYER, IN 46311-1293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01038347
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003724508
—
IN
Enumeration date
01/05/2018
Last updated
03/18/2024
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