Graduated: 1981
NPI: 1710052436
Practice Locations (3)
350 W KENSINGTON RD, SUITE 101
MOUNT PROSPECT, IL 600561141
8476700800
350 W KENSINGTON RD, SUITE 101
Mt Prospect, IL 600561141
350 W KENSINGTON RD, SUITE 101
MT PROSPECT, IL 600561141
Source: CMS National Downloadable File, September 2026.