Provider Demographics
NPI:1497172225
Name:NWI URGENT FAMILY CARE, LLC
Entity Type:Organization
Organization Name:NWI URGENT FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FAIZUDDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAREEF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:219-427-0700
Mailing Address - Street 1:833 W LINCOLN HWY STE 110E
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-4606
Mailing Address - Country:US
Mailing Address - Phone:219-427-0700
Mailing Address - Fax:
Practice Address - Street 1:833 W LINCOLN HWY STE 110E
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-4606
Practice Address - Country:US
Practice Address - Phone:219-427-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty