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Organization

CHUBE2 PRIMARY CARE LLC

Active
Other names
Chube2 Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL HUNT (BILLING MANAGER)
(219) 201-8178
Entity
Organization

Contact information

Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 201-8178
Mailing address
1024 KILLARNEY DR, DYER, IN 46311-1293

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01038347
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003724508
IN
Enumeration date
01/05/2018
Last updated
03/18/2024
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