Graduated: 1984
NPI: 1003899428
Practice Locations (4)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST
CHICAGO, IL 606127232
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1855 W TAYLOR ST
CHICAGO, IL 606127242
3129966590
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1855 W TAYLOR ST, MC648
CHICAGO, IL 606127242
3129966590
2850 S WABASH AVE, SUITE 102
CHICAGO, IL 606162491
3124963488
Source: CMS National Downloadable File, September 2026.