# WOMEN'S SPECIALIST OF NORTHWEST INDIANA, LLC

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

## Provider details

- **NPI number:** 1841273232
- **Authorized official:** DR. KIMBERLY D. ARTHUR M.D. (CEO)
- **Authorized official phone:** (219) 397-2008

## Contact information

- **Practice address:** 3924-26 MAIN ST., SUITE 202, EAST CHICAGO, IN 46312
- **Practice address phone:** (219) 397-2008
- **Practice address fax:** (219) 398-1339
- **Mailing address:** 3924-26 MAIN ST., SUITE 202, EAST CHICAGO, IN 46312
- **Mailing address phone:** (219) 397-2008
- **Mailing address fax:** (219) 398-1339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01036148A | IN | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 01/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200501220A | — | IN |
| 05 | — | 377621358 | — | IL |