Organization
NORTHWEST PROCEDURES MEDICAL CENTERS AND IMMEDIATE CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY OKECHUKW ONYEUKWU (MEDICAL DOCTOR/OWNER)
(219) 397-1951
Entity
Organization
Contact information
Practice address
2010 E COLUMBUS DR, EAST CHICAGO, IN 46312-2830
(219) 397-1951
(219) 844-3578
Mailing address
2010 E COLUMBUS DR, EAST CHICAGO, IN 46312-2830
(219) 397-1951
(219) 844-3578
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
01043017B
IN
208000000X
Pediatrics Physician
01043017B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01043017B
INDIANA LICENSE
IN
05
—
20027940
—
IN
Enumeration date
07/26/2010
Last updated
08/01/2010
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