Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
NPI: 1336189869
Practice Locations (1)
SPECIALTY PHYSICIANS OF ILLINOIS LLC
20939 S CICERO AVE
MATTESON, IL 604431620
7086792770
Source: CMS National Downloadable File, September 2026.