| Chube Medical Corporation | |
|
1701 Broadway Gary IN 46407 | |
| (219) 882-0980 | |
| (219) 882-5065 |
| Full Name | Chube Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Broadway, Gary, Indiana |
| Authorized Official Name and Position | David D Chube (MD OWNER) |
| Authorized Official Contact | 2198820980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chube Medical Corporation Po Box 269 1701 Broadway Gary IN 46407 Ph: (219) 882-0980 | Chube Medical Corporation 1701 Broadway Gary IN 46407 Ph: (219) 882-0980 |
| NPI Number | 1356476287 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 09/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356476287 | NPI | - | NPPES |
| 100161170 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01017944 (Indiana) | Primary |
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