Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1991
Offers telehealth
NPI: 1023042470
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
6155 GRAND AVE, SUITE 200
GURNEE, IL 600311651
8475357157
Source: CMS National Downloadable File, September 2026.