Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1987
NPI: 1780668251
Practice Locations (1)
PRIMECARE COMMUNITY HEALTH, INC.
1431 N WESTERN AVE, SUITE 406
CHICAGO, IL 606221774
3124915495
Source: CMS National Downloadable File, September 2026.