Graduated: 1993
NPI: 1629025663
Practice Locations (4)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
BONAVENTURE MEDICAL FOUNDATION LLC
800 BIESTERFIELD RD
ELK GROVE VILLAGE, IL 600073361
BONAVENTURE MEDICAL FOUNDATION LLC
1786 MOON LAKE BLVD
HOFFMAN EST, IL 601945029
8477558208
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
201 N HAMMES AVE
JOLIET, IL 604356611
2242736350
Source: CMS National Downloadable File, September 2026.