Organization
NORTHERN INDIANA REHABILITATION MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER L. YU M.D. (PRESIDENT AND MEDICAL DIRECTOR)
(219) 736-1266
Entity
Organization
Contact information
Practice address
8127 MERRILLVILLE RD, SUITE D, MERRILLVILLE, IN 46410-6158
(219) 736-1266
(219) 736-1267
Mailing address
8127 MERRILLVILLE RD, SUITE D, MERRILLVILLE, IN 46410-6158
(219) 736-1266
(219) 736-1267
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01036492
IN
2081P0004X
Spinal Cord Injury Medicine Physician
01036492
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01036492
IN
Other
Enumeration date
06/27/2007
Last updated
07/27/2007
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