| Kraunsta Family Healthcare Llc | |
|
5908 Columbia Ave Hammond IN 46320-2610 | |
| (219) 937-7053 | |
| (219) 937-7053 |
| Full Name | Kraunsta Family Healthcare Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5908 Columbia Ave, Hammond, Indiana |
| Authorized Official Name and Position | Chijioke Jimonu (ADMINISTRATOR) |
| Authorized Official Contact | 7082751369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kraunsta Family Healthcare Llc 5908 Columbia Ave Hammond IN 46320-2610 Ph: (219) 937-7053 | Kraunsta Family Healthcare Llc 5908 Columbia Ave Hammond IN 46320-2610 Ph: (219) 937-7053 |
| NPI Number | 1811462989 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 11/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811462989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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