Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2025
NPI: 1003792722
Practice Locations (2)
1527 S KILDARE AVE
Chicago, IL 606231912
CHICAGO, IL 60623
7736064068
Source: CMS National Downloadable File, September 2026.