Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2010
NPI: 1780900308
Practice Locations (1)
COMMUNITY CARE NETWORK INC
10020 DONALD POWERS DR
MUNSTER, IN 463212905
2198367605
Source: CMS National Downloadable File, September 2026.