Graduated: 1989
NPI: 1558664425
Practice Locations (2)
ATHLETICO LTD
510 E 81ST AVE, UNIT 2
MERRILLVILLE, IN 464105599
2197910494
ATHLETICO LTD
1505 US HWY 41, SUITE A20
SCHERERVILLE, IN 463751394
2193225560
Source: CMS National Downloadable File, September 2026.