Graduated: 2011
NPI: 1144628512
Practice Locations (3)
COUNTY OF LAKE
2215 AUDREY NIXON BLVD
NORTH CHICAGO, IL 600641618
8473778800
COUNTY OF LAKE
2400 BELVIDERE RD
WAUKEGAN, IL 600856165
8473778800
COUNTY OF LAKE
2410 BELVIDERE RD
WAUKEGAN, IL 600856165
8473778686
Source: CMS National Downloadable File, September 2026.