Graduated: 2002
NPI: 1073608865
Practice Locations (2)
LOCKPORT EXPRESS MEDICAL GROUP INC
16221 W 159TH ST
LOCKPORT, IL 604417901
LOCKPORT EXPRESS MEDICAL GROUP INC
16221 W 159TH ST
LOCKPORT, IL 604417959
8155881111
Source: CMS National Downloadable File, September 2026.