Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
NPI: 1851356414
Practice Locations (1)
PCC COMMUNITY WELLNESS CENTER
14 LAKE ST
OAK PARK, IL 603022606
7083830113220005
Source: CMS National Downloadable File, September 2026.