Organization
SLEEP CENTER OF NORTHWEST INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J NEWELL (OFFICE MANAGER)
(219) 803-7380
Entity
Organization
Contact information
Practice address
9150 E 109TH AVE STE 1A, CROWN POINT, IN 46307-7686
(219) 756-8000
(219) 756-3699
Mailing address
9150 E 109TH AVE STE 1A, CROWN POINT, IN 46307-7686
(219) 756-8000
(219) 756-3699
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200800440A
—
IN
Enumeration date
10/12/2006
Last updated
04/24/2025
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