Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1981
NPI: 1184684565
Practice Locations (3)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
1 KISH HOSPITAL DR
DEKALB, IL 601159602
8157667334
NORTHWESTERN MEDICAL FACULTY FOUNDATION
5 KISH HOSPITAL DR
DEKALB, IL 601159602
NORTHWESTERN MEDICAL FACULTY FOUNDATION
515 VALLEY VIEW DR, SUITE 201
MOLINE, IL 612656175
3126950870
Source: CMS National Downloadable File, September 2026.