# NORTHWEST CENTER MEDICAL SERVICES CORP.

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

## Provider details

- **NPI number:** 1942488754
- **Authorized official:** JANICE ZUNICH M.D. (DIRECTOR, GENETICS CENTER)
- **Authorized official phone:** (219) 980-6560

## Contact information

- **Practice address:** 3400 BROADWAY, GARY, IN 46408-1101
- **Practice address phone:** (219) 980-6560
- **Practice address fax:** (219) 980-6693
- **Mailing address:** 3400 BROADWAY, GARY, IN 46408-1101
- **Mailing address phone:** (219) 980-6560
- **Mailing address fax:** (219) 980-6693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SG0201X | Clinical Genetics (M.D.) Physician | 01034255A | IN | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 06/09/2008