Graduated: 2005
NPI: 1407167398
Practice Locations (4)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 PROVENA WAY, SUITE 103
BOURBONNAIS, IL 609144797
8159378780
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
500 W COURT ST
KANKAKEE, IL 609013661
8159372400
24 ON PHYSICIANS PC
1100 E NORRIS DR
OTTAWA, IL 613501604
8154315380
Source: CMS National Downloadable File, September 2026.