Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1990
NPI: 1699743518
Practice Locations (1)
COMMUNITY PHYSICIANS OF INDIANA INC
7950 N SHADELAND AVE, SUITE 350
INDIANAPOLIS, IN 462502699
3176216900
Source: CMS National Downloadable File, September 2026.