Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
Offers telehealth
NPI: 1891904504
Practice Locations (1)
512 W BURLINGTON AVE, SUITE 3
LA GRANGE, IL 605252225
7086391693
Source: CMS National Downloadable File, September 2026.