Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1986
NPI: 1871562975
Practice Locations (2)
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
THE SOUTH BEND CLINIC LLC
615 N MICHIGAN ST
SOUTH BEND, IN 466011033
5746471000
Source: CMS National Downloadable File, September 2026.