Healthcare Provider Details

I. General information

NPI: 1093476160
Provider Name (Legal Business Name): CALEEL FAMILY MEDICINE CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2021
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9011 E 109TH AVE
CROWN POINT IN
46307-7652
US

IV. Provider business mailing address

9011 E 109TH AVE
CROWN POINT IN
46307-7652
US

V. Phone/Fax

Practice location:
  • Phone: 219-299-5341
  • Fax: 219-244-5422
Mailing address:
  • Phone: 219-299-5341
  • Fax: 219-244-5422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TAMER CALEEL
Title or Position: DO/OWNER
Credential: DO
Phone: 219-299-5341