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Organization
CHILDRENS AND FAMILY HEALTH CLINIC
Active
Organization
CHILDRENS AND FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZRA SHIBLI SHERIFF M.D. (PRESIDENT)
(219) 769-9070
Entity
Organization
Contact information
Practice address
205 E 86TH CT, MERRILLVILLE, IN 46410-6259
(219) 769-9070
(219) 769-1758
Mailing address
205 E 86TH CT, MERRILLVILLE, IN 46410-6259
(219) 769-9070
(219) 769-1758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003925A
IN
363L00000X
Nurse Practitioner
71003925B
IN
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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