Graduated: 2011
NPI: 1043577562
Practice Locations (2)
ILLINOIS DERMATOLOGY INSTITUTE, LLC
9711 SKOKIE BLVD, SUITE J
SKOKIE, IL 600771384
8476759711
ILLINOIS DERMATOLOGY INSTITUTE, LLC
3190 LANCER ST
PORTAGE, IN 463684488
2197643600
Source: CMS National Downloadable File, September 2026.