Graduated: 1989
NPI: 1497795629
Practice Locations (2)
UCM MEDICAL GROUP SUB LLC
1 INGALLS DR
HARVEY, IL 604263558
7083332300
UCM MEDICAL GROUP SUB LLC
71 W 156TH ST, SUITE 208
HARVEY, IL 604264262
7083316669
Source: CMS National Downloadable File, September 2026.