Graduated: 2020
Offers telehealth
NPI: 1669934493
Practice Locations (2)
IU HEALTH MEDICAL GROUP, LLC
1701 N SENATE BLVD
INDIANAPOLIS, IN 462021239
8884843258
ICCO LLC
1226 VIRGINIA AVE
NORTH BEND, OR 974592716
5416407625
Source: CMS National Downloadable File, September 2026.