Medical school: UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduated: 2004
NPI: 1679652382
Practice Locations (2)
707 LAKE COOK RD, SUITE 121
Deerfield, IL 600154909
707 LAKE COOK RD, SUITE 121
DEERFIELD, IL 600154909
2242828939
Source: CMS National Downloadable File, September 2026.