Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1986
NPI: 1700802501
Practice Locations (2)
25 E WASHINGTON, SUITE 2036
CHICAGO, IL 606021818
7087499060
84 E BURLINGTON ST, 1E
RIVERSIDE, IL 605462119
7087499060
Source: CMS National Downloadable File, September 2026.