Organization
SOUTHLAKE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALAH HAMZEH (OWNER)
(219) 736-9690
Entity
Organization
Contact information
Practice address
8500 BROADWAY, SUITE F, MERRILLVILLE, IN 46410-7055
(219) 736-9690
Mailing address
8500 BROADWAY, SUITE F, MERRILLVILLE, IN 46410-7055
(219) 736-9690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IN
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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