Graduated: 2013
NPI: 1356765085
Practice Locations (2)
PREMISE HEALTH OF INDIANA MEDICAL PC
777 CASINO CTR DR
HAMMOND, IN 463201003
2194736100
PREMISE HEALTH OF INDIANA MEDICAL PC
8900 BROADWAY
MERRILLVILLE, IN 464107040
2195251150
Source: CMS National Downloadable File, September 2026.