# NORTHWEST INDIANA ID ASSOCIATES PC

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

## Provider details

- **NPI number:** 1659742385
- **Authorized official:** DR. KINAN ATTASSI MD (OWNER)
- **Authorized official phone:** (630) 923-3555

## Contact information

- **Practice address:** 9696 GORDON DR, HIGHLAND, IN 46322-2909
- **Practice address phone:** (219) 937-2511
- **Practice address fax:** (219) 937-2522
- **Mailing address:** 9696 GORDON DR, HIGHLAND, IN 46322-2909
- **Mailing address phone:** (219) 937-2511
- **Mailing address fax:** (219) 937-2522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 01062044 | IN | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 10/07/2015