Graduated: 2020
NPI: 1043809429
Practice Locations (2)
FRANCISCAN PHYSICIAN NETWORK
6831 W 133RD AVE
CEDAR LAKE, IN 463038989
2193745970
COMMUNITY CARE NETWORK INC
1451 MORTHLAND DR, SUITE D
VALPARAISO, IN 463856360
2196634007
Source: CMS National Downloadable File, September 2026.