# EMGI - UNIVERSITY, LLC

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

## Provider details

- **NPI number:** 1508808783
- **Authorized official:** CHARLES SHUFFLEBARGER MD (ACCOUNT EXECUTIVE)
- **Authorized official phone:** (317) 802-6299

## Contact information

- **Practice address:** 550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
- **Practice address phone:** (317) 274-4705
- **Mailing address:** 2449 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
- **Mailing address phone:** (317) 802-6299
- **Mailing address fax:** (317) 870-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 02/28/2011
