Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2000
Offers telehealth
NPI: 1134210834
Practice Locations (1)
LAKE STREET FAMILY MEDICINE LLC
220 E LAKE ST, SUITE 100
ADDISON, IL 601012867
6305160434
Source: CMS National Downloadable File, September 2026.