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Organization

SLEEP DISORDER INSTITUTE OF NORTHWEST INDIANA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL L ABBOTT (ADMINISTRATOR)
(219) 263-7255
Entity
Organization

Contact information

Practice address
6040 LUTE RD, SUITE A, PORTAGE, IN 46368-5008
(219) 764-4567
(219) 764-4566
Mailing address
6040 LUTE RD, SUITE A, PORTAGE, IN 46368-5008
(219) 764-4567
(219) 764-4566

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2005040400231
IN

Other

Enumeration date
05/23/2006
Last updated
07/13/2007
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