Graduated: 1988
NPI: 1417025842
Practice Locations (3)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
1431 N WESTERN AVE, SUITE 134
CHICAGO, IL 606221797
7732351915
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
1431 N WESTERN AVE, SUITE 503
CHICAGO, IL 606221774
7737729121
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
Source: CMS National Downloadable File, September 2026.