Graduated: 2005
NPI: 1871676387
Practice Locations (2)
2825 JEWETT AVE
HIGHLAND, IN 463221617
2199238713
ILLINOIS CENTER FOR PAIN CONTROL LLC
10176 W 400 N B, THE VANGUARD MEDICAL GROUP
MICHIGAN CITY, IN 463609009
2193012633
Source: CMS National Downloadable File, September 2026.