Organization
NORTHWEST INDIANA ID ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINAN ATTASSI MD (OWNER)
(630) 923-3555
Entity
Organization
Contact information
Practice address
9696 GORDON DR, HIGHLAND, IN 46322-2909
(219) 937-2511
(219) 937-2522
Mailing address
9696 GORDON DR, HIGHLAND, IN 46322-2909
(219) 937-2511
(219) 937-2522
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01062044
IN
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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