Crown Family Medicine, Llc | |
200 S West St Crown Point IN 46307-3908 | |
(219) 662-7583 | |
(219) 662-7378 |
Full Name | Crown Family Medicine, Llc |
---|---|
Speciality | Family Medicine |
Location | 200 S West St, Crown Point, Indiana |
Authorized Official Name and Position | Kamartaj Saifullah Quadri (PRESIDENT) |
Authorized Official Contact | 2196627583 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crown Family Medicine, Llc 200 South West Street Crown Point IN 46307-4848 Ph: (219) 662-7583 | Crown Family Medicine, Llc 200 S West St Crown Point IN 46307-3908 Ph: (219) 662-7583 |
NPI Number | 1477600401 |
---|---|
Provider Enumeration Date | 01/04/2007 |
Last Update Date | 01/19/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477600401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01050515A (Indiana) | Primary |
News Archive
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