NPI 1841344165

Northwest Indiana Medical Consultants PC

Organisation Legal Medicine Merrillville, IN

Practice location

Address: 5304 Broadway, Merrillville, IN 46410-1555
Phone: (219) 985-2510
Fax: (219) 985-2532

Authorised official

Name: Josette Cherie Jackson
Title: Office Manager
Phone: (219) 985-2510

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 01046988 (IN)

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Registry record

NPI: 1841344165
Entity type: Organization
NPI issued: 23 Jan 2007
Record last updated: 25 Jun 2010

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.