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General NPI Number Information
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NPI Number | 1912522368
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Entity Type | Organization
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Legal Business Name | NG MEDICAL CENTER LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 8127 MERRILLVILLE RD STE 1B
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6306
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Country | US
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Telephone | 219-208-6218
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Fax |
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Provider Business Mailing Address
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Address Line | 244 W CENTRAL AVE
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City | LOMBARD
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State | IL
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Zip | 60148-3813
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Country | US
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Telephone | 219-359-3679
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAZAR GOLEWALE
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Credential | MD
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Telephone | 888-334-0490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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