Graduated: 2009
NPI: 1780827337
Practice Locations (2)
DUPAGE MEDICAL GROUP LTD
17495 LA GRANGE RD
TINLEY PARK, IL 604877581
7082267000
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
Source: CMS National Downloadable File, September 2026.