Graduated: 1997
Also: FAMILY PRACTICE
NPI: 1689649105
Practice Locations (3)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
2233 W DIVISION ST
CHICAGO, IL 606228151
3127702000
OSF MULTI-SPECIALTY GROUP
2800 W 95TH ST
EVERGREEN, IL 608052701
7084992070
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.