Medical school: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1649237702
Practice Locations (2)
5723 W FULLERTON AVE
Chicago, IL 606392306
5723 W FULLERTON AVE
CHICAGO, IL 606392306
7736228060
Source: CMS National Downloadable File, September 2026.