Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1164518320
Practice Locations (2)
COOK COUNTY
500 E 51ST ST
CHICAGO, IL 606152494
3125722000
COOK COUNTY
1800 HARLEM AVE
NORTH RIVERSIDE, IL 605461468
7087839800
Source: CMS National Downloadable File, September 2026.