Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1988
NPI: 1255343596
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
912 S WOOD ST
CHICAGO, IL 606124300
3129962200
Source: CMS National Downloadable File, September 2026.