Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2022
NPI: 1154939924
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1221 E STATE ST
ROCKFORD, IL 611042231
8159721000
Source: CMS National Downloadable File, September 2026.