Medical school: LAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated: 2018
NPI: 1659868057
Practice Locations (1)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
301 N MADISON AVE, SUITE 300
JOLIET, IL 60435
8157254367
Source: CMS National Downloadable File, September 2026.