Organization
INTERNAL MEDICINE CENTER OF NORTHWEST INDIANA PC
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
DR. OKECHI N NWABARA MD (PRESIDENT)
(219) 884-4900
Entity
Organization
Contact information
Practice address
3535 BROADWAY, GARY, IN 46409-1316
(219) 884-4900
(219) 980-7585
Mailing address
3535 BROADWAY, GARY, IN 46409-1316
(219) 884-4900
(219) 980-7585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200030490
—
IN
Enumeration date
11/30/2005
Last updated
06/21/2013
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