Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1093971004
Practice Locations (1)
MEDICAL SERVICES RIC
355 E ERIE ST
CHICAGO, IL 606113167
3122381000
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1093971004
MEDICAL SERVICES RIC
355 E ERIE ST
CHICAGO, IL 606113167
3122381000
Source: CMS National Downloadable File, September 2026.