Graduated: 2024
NPI: 1154121044
Practice Locations (3)
5901 N CICERO AVE, SUITE 606
CHICAGO, IL 606465721
2740 N 74TH CT APT, 1E
Elmwood Park, IL 607071567
831 BEDFORD AVE, SUITE 530
BROOKLYN, NY 112052801
Source: CMS National Downloadable File, September 2026.