Organization
NWI HOME DOCTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL OKOLOCHA (PRESIDENT)
(219) 949-7540
Entity
Organization
Contact information
Practice address
3847 EUCLID AVE, EAST CHICAGO, IN 46312-2332
(219) 949-7540
Mailing address
3847 EUCLID AVE, EAST CHICAGO, IN 46312-2332
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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