Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1973
NPI: 1710995121
Practice Locations (5)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
675 N SAINT CLAIR ST
CHICAGO, IL 606115975
NORTHWESTERN MEDICAL FACULTY FOUNDATION
675 N ST CLAIR
CHICAGO, IL 606115975
NORTHWESTERN MEDICAL FACULTY FOUNDATION
1 KISH HOSPITAL DR
DEKALB, IL 601159602
8157667334
NORTHWESTERN MEDICAL FACULTY FOUNDATION
5 KISH HOSPITAL DR
DEKALB, IL 601159602
NORTHWESTERN MEDICAL FACULTY FOUNDATION
515 VALLEY VIEW DR, SUITE 201
MOLINE, IL 612656175
3126950870
Source: CMS National Downloadable File, September 2026.