Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1154376176
Practice Locations (1)
CHILDREN'S HEALTH CARE
2525 CHICAGO AVE
MINNEAPOLIS, MN 554044518
6128136273
Source: CMS National Downloadable File, September 2026.