Organization
KRAUNSTA FAMILY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIJIOKE JIMONU NP (ADMINISTRATOR)
(708) 275-1369
Entity
Organization
Contact information
Practice address
5908 COLUMBIA AVE, HAMMOND, IN 46320-2610
(219) 937-7053
(219) 937-7053
Mailing address
5908 COLUMBIA AVE, HAMMOND, IN 46320-2610
(219) 937-7053
(219) 937-7053
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
11/27/2018
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