Graduated: 2019
NPI: 1184263105
Practice Locations (2)
AIMS LLC
9330 BROADWAY
CROWN POINT, IN 463079830
2196482400
CLEANSLATE MEDICAL GROUP OF INDIANA LLC
8601 CONNECTICUT ST
MERRILLVILLE, IN 464106647
2195253495
Source: CMS National Downloadable File, September 2026.