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Organization

BEACON BEHAVIORAL PEDIATRIC CLINIC LLC

Active
Other names
Beacon Behavioral Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNA ADEKUGBE MD (PRESIDENT)
(617) 308-1720
Entity
Organization

Contact information

Practice address
8933 WHITE OAK AVE, MUNSTER, IN 46321-3134
(219) 838-7703
Mailing address
8933 WHITE OAK AVE, MUNSTER, IN 46321-3134
(617) 308-1720

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
02/21/2023
Last updated
10/05/2023
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