Illiana Surgery and Medical Center

NPI #1134175490 in Munster, Indiana

Provider Information

NPI Number
1134175490
Entity Type
Organization
Organization Name
Illiana Surgery and Medical Center
Primary Specialty
Physical Therapist
Enumeration Date
May 26, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
110 RIDGE RD
State
Indiana
ZIP Code
46321-1520
Phone
(219) 852-7189

Authorized Official

Name
DR. JEFFREY YESSENOW, MD
Title
CEO
Phone
(219) 922-1205

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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