# CHUBE MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1356476287
- **Authorized official:** MR. DAVID D CHUBE SR. MD (MD OWNER)
- **Authorized official phone:** (219) 882-0980

## Contact information

- **Practice address:** 1701 BROADWAY, GARY, IN 46407
- **Practice address phone:** (219) 882-0980
- **Practice address fax:** (219) 882-5065
- **Mailing address:** PO BOX 269, 1701 BROADWAY, GARY, IN 46407
- **Mailing address phone:** (219) 882-0980
- **Mailing address fax:** (219) 882-5065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01017944 | IN | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 09/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100161170 | — | TN |