Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1990
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1699767855
Practice Locations (1)
MEDICAL SERVICES RIC
355 E ERIE ST
CHICAGO, IL 606113167
3122381000
Source: CMS National Downloadable File, September 2026.