Organization
MIDWEST INFECTIOUS DISEASES ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY ANDOH MD (PHYSICIAN)
(219) 895-1185
Entity
Organization
Contact information
Practice address
751 E 81ST AVE, MERRILLVILLE, IN 46410-5538
(219) 895-1185
Mailing address
53 W TAM O SHANTER DR, CRETE, IL 60417-6302
(708) 334-9738
(708) 672-9768
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01042402
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578637245
NPI
IL
Enumeration date
06/14/2018
Last updated
02/20/2019
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