Graduated: 2011
NPI: 1255690574
Practice Locations (2)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
201 N HAMMES AVE
JOLIET, IL 604356611
2242736350
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
500 S WEBER RD
ROMEOVILLE, IL 604466528
8157737732
Source: CMS National Downloadable File, September 2026.