Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2006
NPI: 1073710794
Practice Locations (1)
PCC COMMUNITY WELLNESS CENTER
5461 W LAKE ST
CHICAGO, IL 606442342
7083830113220005
Source: CMS National Downloadable File, September 2026.