Graduated: 1989
NPI: 1366642688
Practice Locations (4)
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
1921 W 25TH AVE, UNIT 4
GARY, IN 464043548
2199818109
3567 VILLAGE CT
GARY, IN 464081427
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
8455 BROADWAY
MERRILLVILLE, IN 464106220
2197697211
Source: CMS National Downloadable File, September 2026.