IndividualActive
Alfonso Blum, M.
NPI 1790810448 · Internal Medicine Physician · East Chicago, IN
Provider details
- NPI number
- 1790810448
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.
- Sex
- Male
- Sole proprietor
- No
- License
- 01062815A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4035 Elm Street
East Chicago, IN 46312-3042
Phone: (219) 398-9840
Fax: (219) 398-9845
Approximate (ZIP-level) locationGet directions
Mailing address
9660 Wicker Avenue
St John, IN 46373-9487
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2010-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.