Graduated: 1991
NPI: 1235325127
Practice Locations (2)
2020 E COLUMBUS DR, SUITE B
EAST CHICAGO, IN 463122830
2197718247
ACTIVE REHAB AND WELLNESS, LLC
65 E 73RD AVE
MERRILLVILLE, IN 464103655
2196482954
Source: CMS National Downloadable File, September 2026.