Graduated: 1991
Also: INTERNAL MEDICINE
NPI: 1043258254
Practice Locations (2)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
2233 W DIVISION ST
CHICAGO, IL 606228151
3127702000
6418 W BELMONT AVE, SUITE 102
CHICAGO, IL 606344099
7732058415
Source: CMS National Downloadable File, September 2026.