Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1649254939
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
1000 N WESTMORELAND RD, PAVILLION B 3RD FL
LAKE FOREST, IL 600451659
8475358500
Source: CMS National Downloadable File, September 2026.