Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1986
NPI: 1003801283
Practice Locations (1)
BEACON MEDICAL GROUP INC
1215 LAWN AVE, SUITE 120
ELKHART, IN 465142450
5745232733
Source: CMS National Downloadable File, September 2026.