| Shungo Care Llc | |
|
16 E Us Highway 30 Schererville IN 46375-2105 | |
| (219) 202-2216 | |
| Not Available |
| Full Name | Shungo Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 16 E Us Highway 30, Schererville, Indiana |
| Authorized Official Name and Position | Ayanna D Washington (DIRECTOR) |
| Authorized Official Contact | 2192022216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shungo Care Llc 273 Milburn Ave Crete IL 60417-2312 Ph: (219) 202-2216 | Shungo Care Llc 16 E Us Highway 30 Schererville IN 46375-2105 Ph: (219) 202-2216 |
| NPI Number | 1679161442 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679161442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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