Graduated: 1998
NPI: 1568596435
Practice Locations (2)
COMMUNITY HEALTHNET INC
1021 W 5TH AVE
GARY, IN 464021703
2198801190
PREMISE HEALTH OF INDIANA MEDICAL PC
8900 BROADWAY
MERRILLVILLE, IN 464107040
2195251150
Source: CMS National Downloadable File, September 2026.