Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1994
NPI: 1831127802
Practice Locations (3)
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
305 W JACKSON ST, SUITE 100
CARBONDALE, IL 629011474
6183514972
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
COOK COUNTY
500 E 51ST ST
CHICAGO, IL 606152494
3125722000
Source: CMS National Downloadable File, September 2026.