Graduated: 2022
NPI: 1356031199
Practice Locations (2)
MEDFUSE ILLINOIS PLLC
1900 HOLLISTER DR, SUITE 210
LIBERTYVILLE, IL 600485284
8473246800
MEDFUSE ILLINOIS PLLC
4711 GOLF RD, SUITE 900
SKOKIE, IL 600761247
2086406096
Source: CMS National Downloadable File, September 2026.