Organization
NWI MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZUDDIN SHAREEF DO (SECRETARY)
(630) 699-6846
Entity
Organization
Contact information
Practice address
5304 BROADWAY, MERRILLVILLE, IN 46410-1555
(219) 427-0630
(219) 427-1525
Mailing address
5304 BROADWAY, MERRILLVILLE, IN 46410-1555
(219) 427-0630
(219) 427-1525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
IN
Other
Enumeration date
02/03/2012
Last updated
02/13/2013
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