Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1985
NPI: 1376580670
Practice Locations (1)
POST-ACUTE PHYSICIANS OF INDIANA LLC
7970 W JEFFERSON BLVD, POST ACUTE PHYSICIANS LLC
FORT WAYNE, IN 468044140
2817243050
Source: CMS National Downloadable File, September 2026.