Medical school: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated: 1993
NPI: 1174532063
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
840 S WOOD ST, 856 UIC PEDIATRICS
CHICAGO, IL 606124325
3124131429
Source: CMS National Downloadable File, September 2026.