# PARAGON CLINICAL MIDWEST, LLC

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

## Provider details

- **NPI number:** 1619335700
- **Authorized official:** MARYBETH SUTKOWSKI M.D (CHIEF MEDICAL OFFICER/PRINCIPAL)
- **Authorized official phone:** (630) 832-1775

## Contact information

- **Practice address:** 8380 VIRGINIA ST, MERRILLVILLE, IN 46410
- **Practice address phone:** (630) 832-1775
- **Mailing address:** PO BOX 2477, SHELTON, CT 06484-1477
- **Mailing address phone:** (630) 506-1245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2016
- **Last updated:** 04/01/2025