Graduated: 2008
NPI: 1669622809
Practice Locations (2)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
355 RIDGE AVE
EVANSTON, IL 602023328
8473164000
Source: CMS National Downloadable File, September 2026.