# INDIANA SUBURBAN VISITING PHYSICIAN SERVICES

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

## Provider details

- **NPI number:** 1942809140
- **Authorized official:** RACHELE SMITH (MANAGER)
- **Authorized official phone:** (513) 377-9374

## Contact information

- **Practice address:** 5 WASHINGTON ST STE 300, VALPARAISO, IN 46383-4769
- **Practice address phone:** (312) 257-1747
- **Mailing address:** 5 WASHINGTON ST STE 300, VALPARAISO, IN 46383-4769
- **Mailing address phone:** (312) 257-1747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2020
- **Last updated:** 10/20/2020