Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1990
NPI: 1932124997
Practice Locations (2)
OSF MULTI-SPECIALTY GROUP
1100 E NORRIS DR
OTTAWA, IL 613501604
8154333100
EMERGENCY PROFESSIONALS OF INDIANA PC
1331 STATE ST
LA PORTE, IN 463503112
2193261234
Source: CMS National Downloadable File, September 2026.