Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1982
NPI: 1578582474
Practice Locations (2)
109 S GENOA ST
GENOA, IL 601351120
8157845188
6550 E RIVERSIDE BLVD
LOVES PARK, IL 611114430
8156334100
Source: CMS National Downloadable File, September 2026.