Graduated: 2023
NPI: 1083487011
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1220 S WOOD ST
CHICAGO, IL 606081202
3124133282
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST
CHICAGO, IL 606127232
3123556245
Source: CMS National Downloadable File, September 2026.