Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1984
Also: ORAL SURGERY
NPI: 1740202969
Practice Locations (2)
2158 183RD ST
Homewood, IL 604303238
2158 183RD ST
HOMEWOOD, IL 604303238
Source: CMS National Downloadable File, September 2026.