Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1981
NPI: 1477575769
Practice Locations (1)
FRANCISCAN PHYSICIAN NETWORK
3920 ST FRANCIS WAY, SUITE 220
LAFAYETTE, IN 479054922
7654285950
Source: CMS National Downloadable File, September 2026.