Ig Health & Vitality

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

IG HEALTH & VITALITY

Practice address

1325 Bigger St
Gary, IN 46404-1839

Phone

(219) 201-5597

NPI assigned

May 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ileana Green

Title

Founder

Phone

(219) 201-5597

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1043901689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BIGGER ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464041839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BIGGER ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464041839",
            "telephone_number": "219-201-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IG HEALTH & VITALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "219-201-5597"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Gary, IN
• Providers in Gary, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.