Organization
ALLERGY AND AUDIOLOGY SERVICES OF NORTHWEST INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCDONALD (CREDENTIALING)
(219) 769-1670
Entity
Organization
Contact information
Practice address
900 RIDGE RD STE E, MUNSTER, IN 46321-1727
(219) 836-8100
Mailing address
900 RIDGE RD STE E, MUNSTER, IN 46321-1727
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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