Graduated: 2013
NPI: 1053732552
Practice Locations (4)
1050 CLEVELAND ST
HAMMOND, IN 463202706
55 E 86TH AVE
Merrillville, IN 464106265
55 E 86TH AVE
MERRILLVILLE, IN 464106382
9339 CALUMET AVE, SUITE D
MUNSTER, IN 463212883
Source: CMS National Downloadable File, September 2026.