Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1992918726
Practice Locations (2)
219 HEALTH NETWORK INC
100 W CHICAGO AVE, SUITE F
EAST CHICAGO, IN 463123261
2193927016
219 HEALTH NETWORK INC
4320 FIR ST
EAST CHICAGO, IN 463123076
Source: CMS National Downloadable File, September 2026.