# NORTHWEST INDIANA HEART CENTER, P.C.

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

## Provider details

- **NPI number:** 1922018324
- **Authorized official:** NEIL THOMAS M.D. (PRESIDENT)
- **Authorized official phone:** (219) 836-2022

## Contact information

- **Practice address:** 200 E 89TH AVE, 2A, MERRILLVILLE, IN 46410-7318
- **Practice address phone:** (219) 738-3710
- **Mailing address:** 9201 CALUMET AVE, MUNSTER, IN 46321-2807
- **Mailing address phone:** (219) 836-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 09/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200469730 | — | IN |