Medical school: CHICAGO COLLEGE OF OSTEOPATHY
Graduated: 1999
NPI: 1629079108
Practice Locations (2)
NWI MDVIP LLC
9150 E 109TH AVE, SUITE 2B
CROWN POINT, IN 463077686
2193122947
RCI (WRS) LLC
1300 LINCOLNWAY
VALPARAISO, IN 463835824
Source: CMS National Downloadable File, September 2026.