Graduated: 1988
NPI: 1164522769
Practice Locations (2)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
2823 N CALIFORNIA AVE, SUITE 200
CHICAGO, IL 606184677
7734633460
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
Source: CMS National Downloadable File, September 2026.