# FAMILY MEDICINE ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1659577146
- **Authorized official:** AUGUSTINE IZAH MD (OWNER)
- **Authorized official phone:** (219) 884-4450

## Contact information

- **Practice address:** 5857 BROADWAY, MERRILLVILLE, IN 46410-2666
- **Practice address phone:** (219) 884-4450
- **Practice address fax:** (212) 884-4418
- **Mailing address:** PO BOX 10606, MERRILLVILLE, IN 46411-0606
- **Mailing address phone:** (219) 884-4450
- **Mailing address fax:** (219) 884-4418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01042994 | IN | Yes |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 10/28/2013