Graduated: 2019
NPI: 1427701341
Practice Locations (3)
1580 N NORTHWEST HWY 120
Park Ridge, IL 600681470
1580 N NORTHWEST HWY, SUITE 120
PARK RIDGE, IL 600681444
1580 N NORTHWEST HWY, SUITE 120
PARK RIDGE, IL 600681470
Source: CMS National Downloadable File, September 2026.