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Organization
NORTHWEST INDIANA HEART CENTER, P.C.
Active
Organization
NORTHWEST INDIANA HEART CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL THOMAS M.D. (PRESIDENT)
(219) 836-2022
Entity
Organization
Contact information
Practice address
200 E 89TH AVE, 2A, MERRILLVILLE, IN 46410-7318
(219) 738-3710
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-2022
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200469730
—
IN
Enumeration date
08/08/2006
Last updated
09/13/2012
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