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Organization

ACE CHILDREN'S HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ELLIOTT CUNNINGHAM (PRESIDENT, CEO)
(219) 989-9650
Entity
Organization

Contact information

Practice address
7026 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2208
(219) 989-9650
(219) 989-9649
Mailing address
7026 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2208
(219) 989-9650
(219) 989-9649

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
01049085A
IN

Other

Enumeration date
05/26/2009
Last updated
05/26/2009
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