Organization
SPINAL & NEUROSURGICAL INSTITUTE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYEL KAAKAJI M.D. (PRESIDENT)
(219) 942-6501
Entity
Organization
Contact information
Practice address
1600 S LAKE PARK AVE, STE 1102, HOBART, IN 46342-6641
(219) 942-6501
(219) 942-0124
Mailing address
1600 S LAKE PARK AVE, STE 1102, HOBART, IN 46342-6641
(219) 942-6501
(219) 942-0124
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01050352A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374099
BLUE CROSS BLUE SHIELD
IN
05
—
200136330A
—
IN
Enumeration date
11/08/2007
Last updated
03/27/2008
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