Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1982
NPI: 1891833612
Practice Locations (1)
RIVERSIDE HEALTH SYSTEM
401 N WALL ST, SUITE 102
KANKAKEE, IL 609012934
8159285090
Source: CMS National Downloadable File, September 2026.