Indiana Regional Sleep Disorders Center, Inc

NPI 1215118559 - Internal Medicine - 207RC0200X

NPI Details
NPI 1215118559
Enumeration Date 11/15/2007
Last Updated 02/19/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OLUSEGUN OLUSEGUN
Position PHYSICIAN/OWNER
Phone (219) 944-4187
Fax (219) 944-4196
Practice Location
2269 W 25TH AVE
GARY IN, 46404-3367, US
Phone (219) 944-4187
Fax (219) 944-4196
Business Location
PO BOX 10160
MERRILLVILLE IN, 46411-0160, US
Phone (219) 944-4187
Fax (219) 738-6714
Toxanomy
Taxonomy Code 207RC0200X
License State Indiana
License Number 01064140
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According to our database, Indiana Regional Sleep Disorders Center, Inc NPI is 1215118559, taxonomy code is 207RC0200X and license number is 01064140, license state is located at Indiana. Indiana Regional Sleep Disorders Center, Inc physically located at 2269 W 25th Ave, Gary IN, 46404-3367. NPI Number 1033115704 has the healthcare provider type.

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1215118559 NPI number is provided on an as is basis without warranty of any kind. 1215118559 is maintained by the National Plan & Provider Enumeration System. The contents of Indiana Regional Sleep Disorders Center, Inc are for informational purposes only.