This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / IL
PHYSICIAN ASSISTANT
Graduated: 2025
NPI: 1164231502
PO BOX
CHICAGO, IL 60677
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Source: CMS National Downloadable File, September 2026.