Nwi Patient Care LLC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

01026604A Issued in IN

Legal business name

NWI PATIENT CARE LLC.

Practice address

544 S Lake St
Gary, IN 46403-2473

Phone

(219) 939-8745

Fax

(219) 939-8748

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Jennie S. Teague

Title

Cfo-Owner

Phone

(219) 939-8745

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1114228723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 E. MELTON RD.",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464034020",
            "telephone_number": "219-939-8745",
            "fax_number": "219-939-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S LAKE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032473",
            "telephone_number": "219-939-8745",
            "fax_number": "219-939-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWI PATIENT CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO-OWNER",
        "authorized_official_telephone_number": "219-939-8745",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01026604A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia K Nunn, MSW, LCSW
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• Nwi Mobile Imaging LLC
• Nwi Primary Care LLC
• Brynn Nylin
• Victor A. Obajuluwa, PT, PHD
• Jill Obrien, PHARMD
• Occupational Health Centers of the Southwest P.a.

• Specialist in Gary, IN
• Providers in Gary, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.