Graduated: 1981
NPI: 1811978000
Practice Locations (3)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
2222 W DIVISION ST, SUITE 250
CHICAGO, IL 606222990
7733262244
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
7435 W TALCOTT AVE
CHICAGO, IL 606313707
7737748000
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
Source: CMS National Downloadable File, September 2026.