# NORTHERN INDIANA REHABILITATION MEDICINE, INC.

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

## Provider details

- **NPI number:** 1356548150
- **Authorized official:** DR. PETER L. YU M.D. (PRESIDENT AND MEDICAL DIRECTOR)
- **Authorized official phone:** (219) 736-1266

## Contact information

- **Practice address:** 8127 MERRILLVILLE RD, SUITE D, MERRILLVILLE, IN 46410-6158
- **Practice address phone:** (219) 736-1266
- **Practice address fax:** (219) 736-1267
- **Mailing address:** 8127 MERRILLVILLE RD, SUITE D, MERRILLVILLE, IN 46410-6158
- **Mailing address phone:** (219) 736-1266
- **Mailing address fax:** (219) 736-1267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 01036492 | IN | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | 01036492 | IN | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 01036492 | IN | — |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 07/27/2007