| Northwest Procedures & Medical Center Pc | |
|
3814 Grant Street Gary IN 46408-2150 | |
| (219) 884-3447 | |
| (219) 884-3512 |
| Full Name | Northwest Procedures & Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3814 Grant Street, Gary, Indiana |
| Authorized Official Name and Position | Geoffrey Okechukw Onyeukwu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2198843447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Procedures & Medical Center Pc 3814 Grant Street Gary IN 46408-2150 Ph: (219) 884-3447 | Northwest Procedures & Medical Center Pc 3814 Grant Street Gary IN 46408-2150 Ph: (219) 884-3447 |
| NPI Number | 1316082266 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 02/16/2022 |
| Medicare PECOS PAC ID | 9638368087 |
|---|---|
| Medicare Enrollment ID | O20110115000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316082266 | NPI | - | NPPES |
| 200161340A | Medicaid | IN |
| Provider Name | Geoffrey O Onyeukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093724007 PECOS PAC ID: 3375610025 Enrollment ID: I20080922000329 |
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