Organization
219 HEALTH NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CORTES (EXECUTIVE DIRECTOR)
(219) 703-2585
Entity
Organization
Contact information
Practice address
9126 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 703-2408
(219) 703-6684
Mailing address
100 W CHICAGO AVE STE F, EAST CHICAGO, IN 46312-3261
(219) 392-7016
(219) 392-6904
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
08/16/2024
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