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Organization
219 HEALTH NETWORK INC
Active
Organization
219 HEALTH NETWORK INC
Active
Other names
219 Health Network Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM MOHAMMED NAJAMUDDIN (EXECUTIVE DIRECTOR)
(219) 703-2585
Entity
Organization
Contact information
Practice address
3432 169TH ST, HAMMOND, IN 46323-2542
(219) 844-9060
(219) 844-6912
Mailing address
100 W CHICAGO AVE STE F, EAST CHICAGO, IN 46312-3261
(219) 703-2583
(219) 703-6749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
NULL
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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