Graduated: 2001
NPI: 1386685139
Practice Locations (3)
201 E 5TH AVE, SUITE A
GARY, IN 464021300
2198822000
7250 ARTHUR BLVD
MERRILLVILLE, IN 464103766
2198822000
8710 BROADWAY
MERRILLVILLE, IN 464107035
2198822000
Source: CMS National Downloadable File, September 2026.