Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2005
NPI: 1164679452
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST, SUITE 3200
CHICAGO, IL 606127232
3129964021
Source: CMS National Downloadable File, September 2026.