Individual
JUSTIN CHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3500
(574) 647-1094
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068196A
IN
208M00000X
Hospitalist Physician
01068196A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000667295
BCBS HOSPITALIST
IN
05
—
200986270
—
IN
Enumeration date
08/14/2006
Last updated
03/30/2026
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