Graduated: 1996
NPI: 1316026420
Practice Locations (2)
CEPAMERICA ILLINOIS LLP
2900 N LAKE SHORE DR
CHICAGO, IL 606575640
7736653000
MASS MEDICAL SC
1025 W EVERETT RD, SUITE 101
LAKE FOREST, IL 600452697
8472347950
Source: CMS National Downloadable File, September 2026.