Organization
OKOLOCHA MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CHIKE OKOLOCHA M.D. (PHYSICIAN)
(219) 949-7540
Entity
Organization
Contact information
Practice address
2054 GRANT ST, GARY, IN 46404-3060
(219) 949-7540
(219) 949-7545
Mailing address
1314 FITZGERALD DR, MUNSTER, IN 46321-4204
(219) 922-4802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041856
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000285585
BC/BS
IN
Enumeration date
05/24/2006
Last updated
08/22/2020
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