Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2013
NPI: 1083920227
Practice Locations (3)
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
801 S PAULINA ST
CHICAGO, IL 606127210
3129967532
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
801 S PAULINA ST, MC 621 RM 42
CHICAGO, IL 606127210
3129966519
Source: CMS National Downloadable File, September 2026.