Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1497747497
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
12251 S 80TH AVE
PALOS HEIGHTS, IL 604631290
7089234000
Source: CMS National Downloadable File, September 2026.