Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1989
NPI: 1740342435
Practice Locations (2)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
300 RANDALL RD, FL 1
GENEVA, IL 601344200
6302084060
APOLLO MEDICAL GROUP OF ILLINOIS LLC
2475 DEAN ST
ST CHARLES, IL 601754831
6305849800
Source: CMS National Downloadable File, September 2026.