| Organization Name: | UNITY PHYSICIAN GROUP, PC |
| NPI Number: | 1073731576 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL D BISHOP (CEO) |
| Mailing Address: | 5521 W Lincoln Hwy Ste 1a Crown Point |
| State: | IN US |
| Postal Code: | 463071098 |
| Phone Number: | 8123361690 |
| Fax Number: | 8123491311 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 06/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |