| Neurology Consultants Of Northwest Indiana, P.c. | |
|
5521 W Lincoln Hwy Suite 300 Crown Point IN 46307-1097 | |
| (219) 750-9665 | |
| (219) 750-9672 |
| Full Name | Neurology Consultants Of Northwest Indiana, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5521 W Lincoln Hwy, Crown Point, Indiana |
| Authorized Official Name and Position | Aisha Shareef (OWNER/PROVIDER) |
| Authorized Official Contact | 2197509665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Consultants Of Northwest Indiana, P.c. 5521 W Lincoln Hwy Suite 300 Crown Point IN 46307-1097 Ph: (219) 750-9665 | Neurology Consultants Of Northwest Indiana, P.c. 5521 W Lincoln Hwy Suite 300 Crown Point IN 46307-1097 Ph: (219) 750-9665 |
| NPI Number | 1609322890 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 09/29/2016 |
| Medicare PECOS PAC ID | 9830477124 |
|---|---|
| Medicare Enrollment ID | O20161020000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609322890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01067804A (Indiana) | Primary |
| Provider Name | Aisha Shareef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669632964 PECOS PAC ID: 9931236007 Enrollment ID: I20100421000474 |
| Provider Name | Jennifer R Dobrowolski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396218608 PECOS PAC ID: 4183961105 Enrollment ID: I20190130000312 |
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