Purdue University

Specialty details in registry · Hammond, IN

Call (219) 989-2240 Directions

At a glance

2200 169Th St, Hammond, IN 46323-2068

NPPES record updated Nov 16, 2010. Public records can lag behind changes at a practice.

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Practice location

2200 169Th St
Hammond, IN 46323-2068

Professional details: NPI, taxonomy & registry record

NPI1154622512

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QS1000X
Enumeration date: Nov 16, 2010
Record updated: Nov 16, 2010

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QS1000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2200 169Th St
Hammond, IN 46323-2068

Phone: (219) 989-2240
Fax: (219) 989-2750

Mailing address

2200 169TH ST

HAMMOND, IN 463232068

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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