Graduated: 2021
NPI: 1124641899
Practice Locations (2)
ILLINOIS DERMATOLOGY INSTITUTE, LLC
1550 N NORTHWEST HWY, SUITE 300
PARK RIDGE, IL 600681475
8472981831
ILLINOIS DERMATOLOGY INSTITUTE, LLC
9711 SKOKIE BLVD, SUITE J
SKOKIE, IL 600771384
8476759711
Source: CMS National Downloadable File, September 2026.