Organization · Type 2 NPI

Pai Participant 27, PC

Geriatric Medicine (Internal Medicine) Physician · Willowbrook, IL

NPI number 1093398539 Active

Practice location

7050 S Madison St
Willowbrook, IL 60527-5548

Mailing address

PO Box 639676
Cincinnati, OH 45263-9676

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300XNone listed

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

7 other providers at this address

About NPI 1093398539

Pai Participant 27, PC's National Provider Identifier is 1093398539, issued on May 3, 2021. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Willowbrook, IL. The record was last updated on Aug 13, 2026.