Graduated: 2000
NPI: 1083683700
Practice Locations (2)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
1325 N HIGHLAND AVE
AURORA, IL 605061449
6308592222
24 ON PHYSICIANS PC
1100 E NORRIS DR
OTTAWA, IL 613501604
8154315380
Source: CMS National Downloadable File, September 2026.