Organization
CHILDRENS AND FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZRA SHIBLI SHERIFF M.D. (PRESIDENT)
(219) 769-9070
Entity
Organization
Contact information
Practice address
205 E 86TH CT, MERRILLVILLE, IN 46410-6259
(219) 769-9070
(219) 769-1758
Mailing address
205 E 86TH CT, MERRILLVILLE, IN 46410-6259
(219) 769-9070
(219) 769-1758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003925A
IN
363L00000X
Nurse Practitioner
71003925B
IN
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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