Organization
CHILDRENS AND FAMILY HEALTH CLINIC
Active
Other names
Childrens and Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZRA SHIBLI SHERIFF MD (PRESIDENT)
(219) 769-9070
Entity
Organization
Contact information
Practice address
205 E 86TH CT, MERRILLVILLE, IN 46410
(219) 769-9070
(219) 769-1758
Mailing address
205 E 86TH CT, MERRILLVILLE, IN 46410
(219) 769-9070
(219) 769-1758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01032560
IN
208000000X
Pediatrics Physician
Primary
01032560
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212430C
—
IN
Enumeration date
07/25/2006
Last updated
04/30/2015
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