Graduated: 2000
NPI: 1922036797
Practice Locations (2)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
2259 N CICERO AVE
CHICAGO, IL 606393327
7736220056
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
Source: CMS National Downloadable File, September 2026.