Provider Demographics
NPI:1396432936
Name:DUFI LLC
Entity type:Organization
Organization Name:DUFI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ILO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:260-417-9781
Mailing Address - Street 1:327 E WAYNE ST STE 175
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-2716
Mailing Address - Country:US
Mailing Address - Phone:260-420-2800
Mailing Address - Fax:
Practice Address - Street 1:327 E WAYNE ST STE 175
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-2716
Practice Address - Country:US
Practice Address - Phone:260-420-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty