Organization
IG HEALTH & VITALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA GREEN (FOUNDER)
(219) 201-5597
Entity
Organization
Contact information
Practice address
1325 BIGGER ST, GARY, IN 46404-1839
(219) 201-5597
Mailing address
1325 BIGGER ST, GARY, IN 46404-1839
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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