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Prestige 2
General Practice Physician in Crown Point, Indiana
NPI 1174222830

Prestige 2 is a General Practice Physician based in Chicago, IN. Prestige 2 practices in Crown Point, IN. The NPI Number for Prestige 2 is 1174222830 and holds a License No. (Indiana).

The current practice location address for Prestige 2 is 11360 Broadway, Crown Point, IN and can be reached out via phone at 219-301-2624. You can also correspond with Prestige 2 through the mailing address at PO BOX 578220, CHICAGO, IL - 60657-7303 (mailing address contact number: 773-935-4700).

Location: 11360 Broadway, Crown Point, IN, 60657-7303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174222830
Provider Name
Prestige 2
Credential
Provider Entity Type
Organization
Address
11360 Broadway, Crown Point, IN, 60657-7303
Phone Number
219-301-2624
Fax Number
Provider Enumeration Date
03/01/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11360 Broadway
City
Crown Point
State
Indiana
Zip
46307-7197
Phone Number
219-301-2624
Fax Number
person
Provider Business Mailing Address Details
Address
11360 Broadway
City
Crown Point
State
Indiana
Zip
46307-7197
Phone Number
219-301-2624
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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