Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1997
Offers telehealth
NPI: 1174528061
Practice Locations (1)
UNIVERSITY OF CHICAGO
5841 S MARYLAND AVE
CHICAGO, IL 606371443
8888240200
Source: CMS National Downloadable File, September 2026.