Graduated: 2022
NPI: 1043939747
Practice Locations (2)
LEE HEALTH SYSTEM INC
13681 DOCTORS WAY
FORT MYERS, FL 339124300
2393432606
FOUNDATION FOR EMERGENCY SERVICES
326 W 64TH ST
CHICAGO, IL 606213114
7739623900
Source: CMS National Downloadable File, September 2026.