Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1981
NPI: 1114936077
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
808 S WOOD ST MC, 624 UIC DERMATOLOGY
CHICAGO, IL 606127300
3123553059
Source: CMS National Downloadable File, September 2026.