Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1275699209
Practice Locations (3)
2222 W DIVISION ST, SUITE 110
CHICAGO, IL 606223093
7732524848
4900 N BERNARD ST
CHICAGO, IL 606255146
7735837130
4920 N KENMORE AVE
CHICAGO, IL 606403710
7737692700
Source: CMS National Downloadable File, September 2026.