Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1831234749
Practice Locations (2)
LAKE STREET FAMILY PHYSICIANS SC INC
1010 LAKE ST, SUITE 301
OAK PARK, IL 603011133
7085248600
DYNAMIC PHYSICAL THERAPY, INC.
1049 LAKE ST, SUITE 201
OAK PARK, IL 603016708
Source: CMS National Downloadable File, September 2026.