Medical school: CHICAGO COLLEGE OF OSTEOPATHY
Graduated: 1990
NPI: 1972531507
Practice Locations (3)
PCC COMMUNITY WELLNESS CENTER
5425 W LAKE ST
CHICAGO, IL 606442342
7734131920
PCC COMMUNITY WELLNESS CENTER
5461 W LAKE ST
CHICAGO, IL 606442342
7083830113220005
PCC COMMUNITY WELLNESS CENTER
1 ERIE CT
OAK PARK, IL 603022510
Source: CMS National Downloadable File, September 2026.