Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1982
Offers telehealth
NPI: 1477532232
Practice Locations (1)
4801 W PETERSON AVE, SUITE 217
CHICAGO, IL 606465738
7734270398
Source: CMS National Downloadable File, September 2026.