NPI 1235399726

Northwest Center Medical Services Corp

Organisation Clinical Cytogenetics Physician Gary, IN

Practice location

Address: 3400 Broadway, Gary, IN 46408-1101
Phone: (219) 980-6699
Fax: (219) 980-6693

Authorised official

Name: Dawn Ilgenfritz
Title: Secretary, Board of Directors
Phone: (219) 980-6699

Registered specialties

Clinical Cytogenetics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SC0300X Licence 01034266A (IN)

Other Medical Genetics providers in Indiana →

Registry record

NPI: 1235399726
Entity type: Organization
NPI issued: 10 Jun 2008
Record last updated: 10 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.