Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1999
NPI: 1487699880
Practice Locations (1)
COMMUNITY CARE NETWORK INC
3800 SAINT MARY RD, SUITE 103
VALPARAISO, IN 463833986
2194642123
Source: CMS National Downloadable File, September 2026.