Organization
FAMILY MEDICINE & WELLNESS CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIEDU NCHEKWUBE M.D. (PRESIDENT)
(219) 985-5500
Entity
Organization
Contact information
Practice address
5495 BROADWAY, MERRILLVILLE, IN 46410-1647
(219) 985-5500
(219) 985-5510
Mailing address
5495 BROADWAY, MERRILLVILLE, IN 46410-1647
(219) 985-5500
(219) 985-5510
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
01031281A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200229460
—
IN
Enumeration date
11/01/2006
Last updated
12/19/2012
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