Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1679514996
Practice Locations (2)
DUPAGE MEDICAL GROUP LTD
430 PENNSYLVANIA AVE
GLEN ELLYN, IL 601374464
6304699200
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
Source: CMS National Downloadable File, September 2026.