Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2000
NPI: 1194720706
Practice Locations (1)
16TH STREET COMMUNITY HEALTH CENTER INC.
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 532042203
4146721353
Source: CMS National Downloadable File, September 2026.