Graduated: 1988
NPI: 1023020955
Practice Locations (4)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1819 W POLK ST
CHICAGO, IL 606124356
3129966604
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
840 S WOOD ST
CHICAGO, IL 606124325
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
840 S WOOD ST 130 CSN, UIC PATHOLOGY
CHICAGO, IL 606124325
3129967313
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
840 S WOOD ST MC
CHICAGO, IL 606124325
Source: CMS National Downloadable File, September 2026.