Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1891761524
Practice Locations (2)
1641 N MILWAUKEE AVE, SUITE 10
LIBERTYVILLE, IL 600481350
8474573688
2120 82ND ST
KENOSHA, WI 531431612
2628422358
Source: CMS National Downloadable File, September 2026.