Registry details
Type
Individual
Primary specialty
Hospitalist
Enumerated
Mar 24, 2017
License(s)
81147 (WI), 036-154676 (IL), 036154676 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 29373 NETWORK PL | Chicago, IL 60673-5147 | 847-390-5900 |
| LOCATION | 836 W WELLINGTON AVE | Chicago, IL 60657-5147 | 773-296-5435 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.