Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1986
NPI: 1477622801
Practice Locations (2)
560 OAKWOOD AVE, SUITE 102
LAKE FOREST, IL 600451956
8472347818
1240 MEADOW RD
NORTHBROOK, IL 600623679
8472729516
Source: CMS National Downloadable File, September 2026.