Graduated: 2025
NPI: 1205796661
Practice Locations (3)
4222 N ASHLAND AVE, APT 101
CHICAGO, IL 606131278
4222 N ASHLAND AVE APT, SUITE 101
CHICAGO, IL 606131278
2500 W HIGGINS RD, SUITE 1230
HOFFMAN ESTATES, IL 601692025
Source: CMS National Downloadable File, September 2026.