Graduated: 2025
NPI: 1093508665
Practice Locations (2)
ORTHOMIDWEST, PLLC
1611 W HARRISON ST, SUITE 400
CHICAGO, IL 606124861
8776326637
ATHLETICO LTD
1644 E 53RD ST
CHICAGO, IL 606154210
7732416450
Source: CMS National Downloadable File, September 2026.