Organization
NORTHSHORE HEALTH CENTERS INC
Active
Other names
NorthShore Regional Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE WILSON (CEO)
(219) 764-5318
Entity
Organization
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 763-8812
(219) 764-3251
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 764-5318
(219) 764-3251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331170
—
IN
Enumeration date
02/12/2010
Last updated
06/10/2010
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