Organization
GREAT LAKES PULMONARY & SLEEP ASSOCIATES, INC
Active
Organization
GREAT LAKES PULMONARY & SLEEP ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEGUN APATA MD (PHYSICIAN/OWNER)
(219) 882-0255
Entity
Organization
Contact information
Practice address
650 GRANT ST STE 7, GARY, IN 46404-1551
(219) 882-0255
(219) 738-6714
Mailing address
PO BOX 10068, MERRILLVILLE, IN 46411-0068
(219) 882-0255
(219) 738-6714
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01064140
IN
207RP1001X
Pulmonary Disease Physician
Primary
01064140
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01064140
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200881250A
—
IN
Enumeration date
11/13/2007
Last updated
07/10/2012
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