Graduated: 1989
Also: PERIPHERAL VASCULAR DISEASE
NPI: 1326117383
Practice Locations (2)
1431 N WESTERN AVE, SUITE 201
CHICAGO, IL 606227712
7736611285
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
7435 W TALCOTT AVE
CHICAGO, IL 606313707
7737748000
Source: CMS National Downloadable File, September 2026.