Graduated: 1999
NPI: 1477873693
Practice Locations (3)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
2222 W DIVISION ST
CHICAGO, IL 606223096
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
8937 W GOLF RD
NILES, IL 607145812
8473759711
Source: CMS National Downloadable File, September 2026.