Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
NPI: 1801899901
Practice Locations (1)
COMMUNITY PHYSICIANS OF INDIANA INC
100 S TOWN CTR RD, SUITE B
MOORESVILLE, IN 461582322
3174972300
Source: CMS National Downloadable File, September 2026.