Active NPI 1891955233 Individual Practitioner Male Practitioner

Dr. Thomas Will , MD

Urology • Lagrange, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Will, MD is a certified Urology practicing in Lagrange, IL. With approximately 23 years of clinical experience since graduating from Ohio State University College Of Medicine in 2003, Dr. Will delivers high-quality medical care to the local community at 5201 S. WILLOW SPRINGS RD..

Dr. Will is affiliated with Uropartners Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include leuprolide injectable, camcevi, 1 mg, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5201 S. Willow Springs Rd.
Suite 380

Lagrange, IL 605256439

Telephone 7083542550

Fax 7083544552

Associated Practice Facility / Clinic

🏢 Uropartners, Llc Facility NPI 1346295128

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Lagrange, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs Matches City Avg

City Avg: 23.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Lagrange, IL (663 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Will (23 Years) 23 Yrs

Lagrange Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1952 Leuprolide injectable, camcevi, 1 mg	924	16	$150.00	$57.26
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	715	521	$50.00	$16.89
99213 Established patient office or other outpatient visit, typically 15 minutes	567	441	$163.00	$94.14
51798 Ultrasound measurement of bladder capacity after voiding	493	374	$100.00	$11.71
81003 Automated urinalysis test	421	321	$20.00	$2.20
81001 Manual urinalysis test with examination using microscope, automated	351	263	$20.00	$3.09
36415 Insertion of needle into vein for collection of blood sample	326	240	$20.00	$8.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	160	$228.00	$132.57
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	167	37	$128.53	$65.03
52000 Diagnostic exam of bladder and urethra using an endoscope	102	94	$930.00	$247.13
99442 Telephone medical discussion with physician, 11-20 minutes	87	79	$177.08	$93.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$302.00	$175.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	53	$260.00	$134.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	39	$140.00	$81.04
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	36	16	$154.00	$49.75
51741 Electronic assessment of bladder emptying	29	29	$240.00	$7.69
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	29	29	$560.00	$35.95
99443 Telephone medical discussion with physician, 21-30 minutes	28	25	$243.22	$132.96
55899 Other procedure on male genital system	26	26	$1240.00	$277.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	17	$160.00	$36.14
51700 Simple bladder irrigation and/or instillation	22	20	$380.00	$79.75
76872 Ultrasound scan of pelvic region through rectum	21	21	$590.00	$140.59
74420 Imaging of urinary tract	19	19	$580.00	$24.59
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	17	$2140.00	$121.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$324.00	$188.12
99441 Telephone medical discussion with physician, 5-10 minutes	15	13	$100.00	$58.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$380.00	$177.51
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$1130.00	$331.82
52648 Laser vaporization of prostate including control of bleeding using an endoscope	11	11	$9800.00	$738.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1952 Leuprolide injectable, camcevi, 1 mg	756	11	$150.00	$85.45
99213 Established patient office or other outpatient visit, typically 15 minutes	442	331	$163.00	$94.84
36415 Insertion of needle into vein for collection of blood sample	334	245	$20.00	$8.34
51798 Ultrasound measurement of bladder capacity after voiding	318	260	$100.00	$11.42
81003 Automated urinalysis test	308	237	$20.00	$2.19
81001 Manual urinalysis test with examination using microscope, automated	288	228	$20.00	$3.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	120	$228.00	$134.56
52000 Diagnostic exam of bladder and urethra using an endoscope	102	86	$930.00	$256.64
99442 Telephone medical discussion with physician, 11-20 minutes	59	53	$177.08	$95.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	50	$140.00	$83.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	58	$260.00	$138.17
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	53	12	$3980.00	$915.86
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	53	20	$128.53	$66.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$302.00	$177.68
74420 Imaging of urinary tract	27	25	$580.00	$25.30
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	14	$160.00	$35.77
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$400.00	$234.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	21	$2140.00	$133.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$103.00	$60.01
99443 Telephone medical discussion with physician, 21-30 minutes	18	16	$243.22	$133.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$1130.00	$322.48
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	15	11	$154.00	$49.60
76872 Ultrasound scan of pelvic region through rectum	13	13	$590.00	$143.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$324.00	$189.52
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1800.00	$446.10
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$5230.00	$1346.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	417	313	$161.81	$97.42
51798 Ultrasound measurement of bladder capacity after voiding	391	315	$100.00	$11.52
81003 Automated urinalysis test	300	230	$20.00	$2.22
36415 Insertion of needle into vein for collection of blood sample	298	224	$20.00	$2.95
81001 Manual urinalysis test with examination using microscope, automated	253	188	$20.00	$3.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	123	$226.70	$135.69
52000 Diagnostic exam of bladder and urethra using an endoscope	78	69	$930.00	$268.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$301.81	$181.63
99442 Telephone medical discussion with physician, 11-20 minutes	51	47	$176.02	$97.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	38	$140.00	$75.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	45	$260.00	$144.28
74420 Imaging of urinary tract	30	26	$580.00	$26.09
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	16	$2140.00	$114.96
99443 Telephone medical discussion with physician, 21-30 minutes	21	18	$243.22	$135.95
76872 Ultrasound scan of pelvic region through rectum	21	21	$590.00	$34.28
55700 Biopsy of prostate gland	17	17	$1010.00	$142.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$319.85	$194.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	415	323	$130.00	$97.79
51798 Ultrasound measurement of bladder capacity after voiding	356	285	$100.00	$11.28
36415 Insertion of needle into vein for collection of blood sample	297	242	$20.00	$2.99
81003 Automated urinalysis test	279	222	$20.00	$2.25
81001 Manual urinalysis test with examination using microscope, automated	240	192	$20.00	$3.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	125	$200.00	$137.75
52000 Diagnostic exam of bladder and urethra using an endoscope	117	100	$930.00	$253.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	58	$260.00	$145.48
74420 Imaging of urinary tract	47	40	$580.00	$26.39
52332 Insertion of stent in urinary duct (ureter) using an endoscope	43	35	$2140.00	$118.33
99442 Telephone medical discussion with physician, 11-20 minutes	39	35	$150.00	$99.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	31	$140.00	$76.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$300.00	$182.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$80.00	$60.46
99443 Telephone medical discussion with physician, 21-30 minutes	22	20	$200.00	$135.44
76872 Ultrasound scan of pelvic region through rectum	16	16	$590.00	$34.68
55700 Biopsy of prostate gland	16	16	$1010.00	$135.08
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	15	11	$160.00	$35.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$270.00	$195.69
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$3670.00	$807.03
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1800.00	$455.25
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	11	11	$1680.00	$311.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	344	287	$130.00	$80.84
36415 Insertion of needle into vein for collection of blood sample	291	236	$20.00	$2.97
81001 Manual urinalysis test with examination using microscope, automated	246	194	$20.00	$3.13
51798 Ultrasound measurement of bladder capacity after voiding	226	197	$100.00	$11.26
81003 Automated urinalysis test	226	196	$20.00	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	128	$200.65	$116.88
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	119	17	$1712.18	$222.33
52000 Diagnostic exam of bladder and urethra using an endoscope	114	98	$930.00	$228.24
99442 Telephone medical discussion with physician, 11-20 minutes	85	81	$150.00	$81.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	53	$260.00	$150.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$300.00	$179.22
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	20	$160.00	$34.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	24	$140.00	$75.98
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	24	$2140.00	$141.98
74420 Imaging of urinary tract	28	24	$580.00	$26.40
99443 Telephone medical discussion with physician, 21-30 minutes	27	25	$200.00	$114.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$80.00	$47.73
55700 Biopsy of prostate gland	21	21	$1010.00	$148.63
76872 Ultrasound scan of pelvic region through rectum	21	21	$590.00	$35.81
76872 Ultrasound scan of pelvic region through rectum	13	13	$590.00	$145.76
55700 Biopsy of prostate gland	13	13	$1010.00	$260.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$270.00	$158.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	476	370	$130.00	$78.85
51798 Ultrasound measurement of bladder capacity after voiding	341	274	$100.00	$13.71
36415 Insertion of needle into vein for collection of blood sample	323	235	$20.00	$2.94
81001 Manual urinalysis test with examination using microscope, automated	313	230	$20.00	$3.44
81003 Automated urinalysis test	271	234	$20.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	137	$200.00	$115.13
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	154	19	$2415.58	$224.60
52000 Diagnostic exam of bladder and urethra using an endoscope	129	112	$930.00	$202.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	96	92	$260.00	$147.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	48	$80.00	$48.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	41	$140.00	$77.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$300.00	$174.08
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	22	$160.00	$32.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	25	$2140.00	$133.51
74420 Imaging of urinary tract	28	25	$580.00	$27.30
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$3670.00	$818.66
76872 Ultrasound scan of pelvic region through rectum	15	14	$590.00	$128.98
55700 Biopsy of prostate gland	13	13	$1010.00	$256.33
55700 Biopsy of prostate gland	12	12	$1010.00	$140.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$380.00	$217.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$270.00	$155.36
76872 Ultrasound scan of pelvic region through rectum	11	11	$590.00	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	506	389	$130.00	$76.69
36415 Insertion of needle into vein for collection of blood sample	347	248	$20.00	$2.93
81001 Manual urinalysis test with examination using microscope, automated	324	240	$20.00	$3.78
51798 Ultrasound measurement of bladder capacity after voiding	316	259	$100.00	$16.76
81003 Automated urinalysis test	280	246	$20.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	149	$200.00	$112.68
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	149	17	$1500.00	$214.48
52000 Diagnostic exam of bladder and urethra using an endoscope	121	98	$930.00	$175.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	68	$260.00	$144.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$300.00	$172.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	47	$80.00	$46.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	37	$140.00	$75.82
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	20	$160.00	$32.01
74420 Imaging of urinary tract	31	30	$580.00	$18.30
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	26	$2140.00	$117.72
55700 Biopsy of prostate gland	20	20	$1010.00	$268.32
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	16	$800.00	$62.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$380.00	$221.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	554	427	$130.00	$76.80
81003 Automated urinalysis test	526	392	$20.00	$3.01
51798 Ultrasound measurement of bladder capacity after voiding	386	306	$100.00	$20.71
36415 Insertion of needle into vein for collection of blood sample	340	269	$20.00	$2.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	170	22	$1500.00	$209.40
81001 Manual urinalysis test with examination using microscope, automated	169	142	$20.00	$4.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	133	$200.00	$112.69
52000 Diagnostic exam of bladder and urethra using an endoscope	144	112	$930.00	$174.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	77	$80.00	$45.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	68	$260.00	$144.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	48	$140.00	$76.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$300.00	$174.84
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	25	$160.00	$34.15
52332 Insertion of stent in urinary duct (ureter) using an endoscope	36	30	$2140.00	$123.07
74420 Imaging of urinary tract	33	31	$580.00	$17.87
51720 Instillation of anti-cancer drug into bladder	28	12	$530.00	$94.07
J9031 Bcg (intravesical) per instillation	28	12	$500.00	$125.92
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	25	$774.08	$61.70
55700 Biopsy of prostate gland	23	23	$1010.00	$257.39
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	18	15	$1680.00	$299.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$210.00	$115.60
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	15	$1130.00	$262.47
51700 Simple bladder irrigation and/or instillation	16	15	$380.00	$77.20
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$9800.00	$760.84
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$40.00	$19.99

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036116363

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Uropartners Llc

120 N Oak St, Hinsdale, IL 605213829

Phone: 6308569000

Uropartners Llc

5201 Willow Springs Rd, La Grange Highlands, IL 605256539

Uropartners Llc

2235 Enterprise Dr, Westchester, IL 601545806

Phone: 8479574670

Uropartners Llc

5101 S Willow Spring Rd, La Grange, IL 605252600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Emily Royce , APRN, FNP-BC

Nurse Practitioner

NPI 1003409491

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Joanna Lee

Nurse Practitioner

NPI 1164964342

Dr. Risha Foster , MD

Urology

NPI 1376706630

Doctor of Medicine (M.D.)

Dr. George Moran , MD

Urology

NPI 1417960758

Doctor of Medicine (M.D.)

Robert Johnson

Nurse Practitioner - Acute Care

NPI 1447171921

Dr. Chirag Doshi , MD

Urology

NPI 1780078063

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2011

Registered at 5201 S. WILLOW SPRINGS RD., SUITE 380, LAGRANGE, IL 605256439 (Tel: 7083542550)

📍

Updated Business Mailing Address May 09, 2011

Registered at 5201 S. WILLOW SPRINGS RD., SUITE 380, LAGRANGE, IL 605256439 (Tel: 7083542550)

👤

Provider Name / Credentials Updated May 09, 2011

Recorded as THOMAS WILL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2011

Urology (License #036116363 in IL)

🟢

Initial NPI Registration & Enumeration June 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891955233

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2008

Last Update: July 12, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5201 S. Willow Springs Rd., Suite 380

Lagrange, IL 605256439

Phone: 7083542550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.