Graduated: 2013
NPI: 1255752192
Practice Locations (2)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
2222 W DIVISION ST
CHICAGO, IL 606223096
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
Source: CMS National Downloadable File, September 2026.