Graduated: 2019
NPI: 1265058648
Practice Locations (2)
MIDWEST EXPRESS CARE 4 LLC
31 E SIBLEY ST, SUITE A
HAMMOND, IN 463201725
2198028800
PIC INDIANA PC
102 SAGAMORE PKWY S
LAFAYETTE, IN 479054745
7652373224
Source: CMS National Downloadable File, September 2026.