Organization
ILLIANA NEPHROLOGY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABD NOGHNOGH MD (OWNER)
(219) 836-5160
Entity
Organization
Contact information
Practice address
8230 CALUMET, MUNSTER, IN 46321-1753
(217) 836-5160
(217) 836-5170
Mailing address
PO BOX 583, HAMMOND, IN 46325-0583
(217) 836-5160
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
10/31/2022
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