Individual
DR. CHARLES RANDALL CHUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9339 CALUMET AVE STE A, MUNSTER, IN 46321-2879
(219) 513-8275
(219) 595-5436
Mailing address
8135 CALUMET AVE, MUNSTER, IN 46321-1701
(219) 513-8275
(219) 595-5436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01045841
LICENSE NUMBER
IN
05
—
200125320A
—
IN
Enumeration date
06/23/2005
Last updated
03/07/2023
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