Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1154373876
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
675 N ST CLAIR, 250 DEPT GASTRO ENDO SGY
CHICAGO, IL 606115975
3126958918
Source: CMS National Downloadable File, September 2026.