Graduated: 1998
NPI: 1902030836
Practice Locations (3)
HUMBOLDT PARK HEALTH
1044 N FRANCISCO AVE
CHICAGO, IL 606222743
7732928227
OSF MULTI-SPECIALTY GROUP
403 E 1ST ST
DIXON, IL 610213116
8152885531
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.