Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1988
NPI: 1659470250
Practice Locations (2)
401 WALL ST, UNIT B
VALPARAISO, IN 463832585
2194627773
401 WALL ST UNIT B
VALPARAISO, IN 463832585
Source: CMS National Downloadable File, September 2026.