Organization
NWI PATIENT CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE S. TEAGUE (CFO-OWNER)
(219) 939-8745
Entity
Organization
Contact information
Practice address
544 S LAKE ST, GARY, IN 46403-2473
(219) 939-8745
(219) 939-8748
Mailing address
5925 E. MELTON RD., GARY, IN 46403-4020
(219) 939-8745
(219) 939-8748
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
174400000X
Specialist
Primary
01026604A
IN
Other
Enumeration date
11/12/2010
Last updated
09/05/2014
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