Healthcare Provider Details

I. General information

NPI: 1972420081
Provider Name (Legal Business Name): MUNSTER AMBULATORY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9410 CALUMET AVE STE 304
MUNSTER IN
46321-0018
US

IV. Provider business mailing address

PO BOX 737581
CHICAGO IL
60673-7581
US

V. Phone/Fax

Practice location:
  • Phone: 219-389-2243
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWARD J KOWLOWITZ
Title or Position: OWNER
Credential: MD
Phone: 317-409-7246