Graduated: 2001
NPI: 1467688879
Practice Locations (5)
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
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
555 W COURT ST, SUITE 214
KANKAKEE, IL 609013674
8159286131
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
555 W COURT ST, SUITE 406
KANKAKEE, IL 609013675
8159327474
Source: CMS National Downloadable File, September 2026.