Medical school: LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated: 2012
NPI: 1619235264
Practice Locations (5)
363 SWEET GUM ST
Bolingbrook, IL 604902120
PO BOX
CHICAGO, IL 60674
PO BOX
CHICAGO, IL 60680
909 RIDGEBROOK RD, SUITE 300
SPARKS, MD 211529474
17177 N LAUREL PARK DR, SUITE 439
LIVONIA, MI 481523938
Source: CMS National Downloadable File, September 2026.