Graduated: 1980
NPI: 1730260324
Practice Locations (3)
5344 N MILWAUKEE AVE
CHICAGO, IL 606301250
7737637108
ACTIVE CARE CENTER SC
609 N MAIN ST, SUITE 101
MOUNT PROSPECT, IL 600562160
8476701111
609 N MAIN ST, SUITE 101
MT PROSPECT, IL 600562160
Source: CMS National Downloadable File, September 2026.