# PREMISE HEALTH OF INDIANA MEDICAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Steel Family Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942363841
- **Authorized official:** JON LEIZMAN M.D. (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 2022 KELLE DR, CHESTERTON, IN 46304-8708
- **Practice address phone:** (219) 395-2200
- **Practice address fax:** (219) 983-1837
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
- **Mailing address phone:** (216) 479-9063

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 08/25/2022