Graduated: 1977
NPI: 1891891156
Practice Locations (2)
219 HEALTH NETWORK INC
100 W CHICAGO AVE, SUITE F
EAST CHICAGO, IN 463123261
2193927016
COMMUNITY CARE NETWORK INC
1946 45TH ST, SUITE D
MUNSTER, IN 463213986
2199241888
Source: CMS National Downloadable File, September 2026.