Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1986
NPI: 1841273513
Practice Locations (2)
MEDOVATE LLC
1450 BUSCH PKWY, SUITE 145
BUFFALO GROVE, IL 600894541
7086699313
MEDOVATE LLC
1516 119TH ST
WHITING, IN 463941733
8474995500
Source: CMS National Downloadable File, September 2026.