Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2000
NPI: 1679557656
Practice Locations (2)
UNIVERSITY OF CHICAGO
10855 VIRGINIA ST, SUITE 1700
CROWN POINT, IN 463070210
8888240200
EMERGENCY PROFESSIONALS OF INDIANA PC
3630 WILLOWCREEK RD
PORTAGE, IN 463685075
2193643000
Source: CMS National Downloadable File, September 2026.