Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1990
Offers telehealth
NPI: 1871607507
Practice Locations (2)
17800 KEDZIE AVE
HAZEL CREST, IL 604292029
7087998000
1100 JOLIET ST
DYER, IN 463111995
2198364955
Source: CMS National Downloadable File, September 2026.