Graduated: 1983
NPI: 1033131024
Practice Locations (3)
4646 N MARINE DR, 8C
CHICAGO, IL 606405759
3123105864
6050 STERLING CREEK RD
PORTAGE, IN 463687752
3128712225
NORTHSHORE HEALTH CENTERS INC
6050 STERLING CREEK RD
PORTAGE, IN 463687752
21976381123233
Source: CMS National Downloadable File, September 2026.