Graduated: 2001
NPI: 1932377660
Practice Locations (2)
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
100 N RIVER RD
DES PLAINES, IL 600161209
8472971800
PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC
201 N HAMMES AVE
JOLIET, IL 604356611
2242736350
Source: CMS National Downloadable File, September 2026.