Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1245395466
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST, SUITE 3200
CHICAGO, IL 606127232
3129964021
Source: CMS National Downloadable File, September 2026.