Graduated: 1994
NPI: 1720185507
Practice Locations (2)
WAUKEGAN CLINIC CORP
1050 RED OAK LN
LINDENHURST, IL 600464998
8472564777
VITAL HEALTH PARTNERS LLC
1324 N SHERIDAN RD
WAUKEGAN, IL 600852161
8473603000
Source: CMS National Downloadable File, September 2026.