Northern Indiana Anesthesia Services, P.c.

NPI #1083639660 in Elkhart, Indiana

Provider Information

NPI Number: 1083639660
Entity Type: Organization
Organization Name: Northern Indiana Anesthesia Services, P.c.
Primary Specialty: Anesthesiology
Enumeration Date: Jul 13, 2006
Last Updated: Nov 27, 2007

Practice Location

Address: 600 EAST BLVD
City: Elkhart
State: Indiana
ZIP Code: 46514
Phone: (574) 523-3193

Authorized Official

Name: JOHN S CHUNG, MD
Title: PRESIDENT
Phone: (574) 523-3193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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