Medical school: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated: 1994
NPI: 1740222694
Practice Locations (2)
3224 RIDGE RD, SUITE 101
LANSING, IL 604383191
7084185551
701 SUPERIOR AVE, SUITE E
MUNSTER, IN 463214038
7084185551
Source: CMS National Downloadable File, September 2026.