Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1983
NPI: 1508816901
Practice Locations (2)
7900 MILWAUKEE AVE, SUITE 18
NILES, IL 607143165
7900 N MILWAUKEE AVE, SUITE 18
NILES, IL 607143165
Source: CMS National Downloadable File, September 2026.