Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1985
Offers telehealth
NPI: 1649339573
Practice Locations (2)
63 E LAKE ST, SUITE 509
CHICAGO, IL 606015976
3122661665
2010 N HARLEM AVE
ELMWOOD PARK, IL 607073119
Source: CMS National Downloadable File, September 2026.