Graduated: 2015
NPI: 1154820413
Practice Locations (2)
1444 W 74TH ST
CHICAGO, IL 606364028
7737096679
GREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC
7531 S STONY ISLAND AVE
CHICAGO, IL 606493954
7739477500
Source: CMS National Downloadable File, September 2026.