Graduated: 2004
NPI: 1184834467
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST
CHICAGO, IL 606127232
3123556245
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST, FL 4
CHICAGO, IL 606124795
3123556245
Source: CMS National Downloadable File, September 2026.