Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2010
Offers telehealth
NPI: 1225349350
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
675 N ST CLAIR, 250 DEPT OF PLASTIC SRGY
CHICAGO, IL 606115975
3126956022
Source: CMS National Downloadable File, September 2026.