Graduated: 2011
NPI: 1972176691
Practice Locations (2)
CHICAGO PHYSICIAN SERVICES PC
2900 N LAKE SHORE DR
CHICAGO, IL 606575640
7736653000
GEISINGER CLINIC
1000 E MOUNTAIN DR
WILKES BARRE, PA 187110027
5708267300
Source: CMS National Downloadable File, September 2026.