Individual
ELIZABETH D. PROGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
610 N MICHIGAN ST STE 306, SOUTH BEND, IN 46601-1079
(574) 647-6500
Mailing address
330 CONCEPT DR, GRANGER, IN 46530-7193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002280A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005906
—
IN
Enumeration date
07/05/2017
Last updated
10/08/2025
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