Graduated: 2022
NPI: 1881398626
Practice Locations (2)
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
1065 E 9TH ST
LOCKPORT, IL 604413567
8155881366
BEACON HEALTH LLC
3221 BEACON PKWY, SUITE 100
GRANGER, IN 465307196
5746472930
Source: CMS National Downloadable File, September 2026.