Graduated: 1996
NPI: 1023345170
Practice Locations (5)
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
1801 W TAYLOR ST
CHICAGO, IL 606124795
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.