Organization
PARAGON CLINICAL MIDWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH SUTKOWSKI M.D (CHIEF MEDICAL OFFICER/PRINCIPAL)
(630) 832-1775
Entity
Organization
Contact information
Practice address
8380 VIRGINIA ST, MERRILLVILLE, IN 46410
(630) 832-1775
Mailing address
PO BOX 2477, SHELTON, CT 06484-1477
(630) 506-1245
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
04/01/2025
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