Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
NPI: 1003063397
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
1000 N WESTMORELAND RD
LAKE FOREST, IL 600451658
8472345600
Source: CMS National Downloadable File, September 2026.