Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
Offers telehealth
NPI: 1164505897
Practice Locations (1)
1580 N NORTHWEST HWY, SUITE 305D
PARK RIDGE, IL 600681469
7737923652
Source: CMS National Downloadable File, September 2026.