# BANDY FAMILY HEALTH CENTER LLC

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

## Provider details

- **NPI number:** 1730956194
- **Authorized official:** STEPHANIE SPENCER BANDY FNP (CEO)
- **Authorized official phone:** (219) 331-8330

## Contact information

- **Practice address:** 3535 BROADWAY, GARY, IN 46409-1316
- **Practice address phone:** (219) 331-8330
- **Mailing address:** 9357 MICHIGAN DR, CROWN POINT, IN 46307-6522
- **Mailing address phone:** (219) 331-8330
- **Mailing address fax:** (219) 413-5245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/06/2023
- **Last updated:** 09/27/2024