Organization
CHUBE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID D CHUBE SR. MD (MD OWNER)
(219) 882-0980
Entity
Organization
Contact information
Practice address
1701 BROADWAY, GARY, IN 46407
(219) 882-0980
(219) 882-5065
Mailing address
PO BOX 269, 1701 BROADWAY, GARY, IN 46407
(219) 882-0980
(219) 882-5065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01017944
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100161170
—
TN
Enumeration date
02/22/2007
Last updated
09/27/2013
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