Organization · Type 2 NPI
Prestige 2
General Practice Physician · Crown Point, IN
NPI number
1174222830
Active
Practice location
11360 Broadway
Crown Point, IN 46307-7197
Mailing address
PO Box 578220
Chicago, IL 60657-7303
Other practice locations
- 7134 Calumet Ave, Hammond, IN 46324-2406 · (219) 301-2624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
10 other providers at this address
- MK Orthopedics, LLCOrthopaedic Surgery Physician Crown Point, IN NPI 1306470398
- Northwest Indiana Orthopedics LLCOrthopaedic Surgery Physician Crown Point, IN NPI 1275032062
- Rdi LLCDurable Medical Equipment & Medical Supplies Crown Point, IN NPI 1629587209
- Relive Physical Therapy IndianaPhysical Therapy Clinic/Center Crown Point, IN NPI 1013501477
- Jay Kaushik Joshi, MD, M.B.A.General Practice Physician Crown Point, IN NPI 1497047435
- Jillian KorenPhysical Therapist Crown Point, IN NPI 1184221277
- Jon Dal Santo, DPTPhysical Therapist Crown Point, IN NPI 1942855218
- Kristijan SrbinoskiPhysical Therapy Assistant Crown Point, IN NPI 1437811171
- Mukund Komanduri, MDOrthopaedic Surgery Physician Crown Point, IN NPI 1619904604
- Sarah Marie Konopasek, PTPhysical Therapist Crown Point, IN NPI 1407814437
Other general practice physician providers in Crown Point
About NPI 1174222830
Prestige 2's National Provider Identifier is 1174222830, issued on Mar 1, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Crown Point, IN. The record was last updated on Jul 14, 2023.