Graduated: 1994
NPI: 1104844752
Practice Locations (3)
RUSH UNIVERSITY MEDICAL GROUP
1725 W HARRISON ST, SUITE 118
CHICAGO, IL 606123817
3129428905
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.