Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1437255742
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
4309 W MEDICAL CTR DR, SUITE B301
MCHENRY, IL 600508439
8478027090
Source: CMS National Downloadable File, September 2026.