Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1986
Offers telehealth
NPI: 1689651341
Practice Locations (1)
9339 CALUMET AVE, SUITE A
MUNSTER, IN 463212879
2192031156
Source: CMS National Downloadable File, September 2026.