Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2001
NPI: 1295100329
Practice Locations (1)
LEGACY HEALTHCARE SERVICES INC
500 ATRIUM DR
VERNON HILLS, IL 600611731
2244336056
Source: CMS National Downloadable File, September 2026.