# MIDWEST INFECTIOUS DISEASES ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1932693884
- **Authorized official:** DR. HENRY ANDOH MD (PHYSICIAN)
- **Authorized official phone:** (219) 895-1185

## Contact information

- **Practice address:** 751 E 81ST AVE, MERRILLVILLE, IN 46410-5538
- **Practice address phone:** (219) 895-1185
- **Mailing address:** 53 W TAM O SHANTER DR, CRETE, IL 60417-6302
- **Mailing address phone:** (708) 334-9738
- **Mailing address fax:** (708) 672-9768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 01042402 | IN | Yes |

## Other

- **Enumeration date:** 06/14/2018
- **Last updated:** 02/20/2019