Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1984
NPI: 1689685646
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
1000 N WESTMORELAND RD, PAVILLION B 3RD FL
LAKE FOREST, IL 600451659
8475358500
Source: CMS National Downloadable File, September 2026.