Graduated: 2021
NPI: 1790423150
Practice Locations (2)
NY LONG-TERM CARE PHYSICIAN SERVICES, PC
521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 464106236
8479200902
HANSA MEDICAL GROUPE PLLC
521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 464106236
8479200902
Source: CMS National Downloadable File, September 2026.