# CALUMET QUICK CARE LTD

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

## Provider details

- **NPI number:** 1861150419
- **Authorized official:** RICHARD O WATSON MD (OWNER)
- **Authorized official phone:** (888) 855-2995

## Contact information

- **Practice address:** 5518 CALUMET AVE, HAMMOND, IN 46320-2017
- **Practice address phone:** (219) 803-0379
- **Mailing address:** PO BOX 786, FLOSSMOOR, IL 60422-0786
- **Mailing address phone:** (219) 803-0379
- **Mailing address fax:** (865) 381-0480

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2021
- **Last updated:** 12/03/2024