| Prestige 2 | |
|
11360 Broadway Crown Point IN 46307-7197 | |
| (219) 301-2624 | |
| Not Available |
| Full Name | Prestige 2 |
|---|---|
| Speciality | General Practice |
| Location | 11360 Broadway, Crown Point, Indiana |
| Authorized Official Name and Position | Jay K Joshi (OWNER) |
| Authorized Official Contact | 6304308024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige 2 Po Box 578220 Chicago IL 60657-7303 Ph: (773) 935-4700 | Prestige 2 11360 Broadway Crown Point IN 46307-7197 Ph: (219) 301-2624 |
| NPI Number | 1174222830 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174222830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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