Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1978
NPI: 1497854038
Practice Locations (2)
2209 W CERMAK RD
Chicago, IL 606083916
2209 W CERMAK RD
CHICAGO, IL 606083916
7738471199
Source: CMS National Downloadable File, September 2026.