Graduated: 2017
NPI: 1114644937
Practice Locations (3)
P O BOX, SUITE 776351
CHICAGO, IL 606776351
PO BOX, SUITE 776351
CHICAGO, IL 606776351
1951 BIDHOP LN, FL 4
LOUISVILLE, KY 402181923
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.
Graduated: 2017
NPI: 1114644937
P O BOX, SUITE 776351
CHICAGO, IL 606776351
PO BOX, SUITE 776351
CHICAGO, IL 606776351
1951 BIDHOP LN, FL 4
LOUISVILLE, KY 402181923
Source: CMS National Downloadable File, September 2026.