Graduated: 2018
NPI: 1447728183
Practice Locations (2)
WAUKEGAN CLINIC CORP
1324 N SHERIDAN RD
WAUKEGAN, IL 600852161
8473603000
VITUITY-WISCONSIN HM SC
9555 76TH ST
PLEASANT PRAIRIE, WI 531581984
2625778000
Source: CMS National Downloadable File, September 2026.