Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2008
Offers telehealth
NPI: 1396989422
Practice Locations (1)
PROVIDEA HEALTH PARTNERS LLC
10260 191ST ST, SUITE 100
MOKENA, IL 604488802
7085727606
Source: CMS National Downloadable File, September 2026.