Graduated: 1991
NPI: 1922118058
Practice Locations (3)
14475 JOHN HUMPHREY DR, LL SUITE C
ORLAND PARK, IL 604626215
14475 JOHN HUMPHREY DR C
ORLAND PARK, IL 604626215
7085577887
14475 JOHN HUMPHREY DR LL C
ORLAND PARK, IL 604626215
Source: CMS National Downloadable File, September 2026.