Graduated: 2010
NPI: 1265748883
Practice Locations (2)
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINT AVE
JANESVILLE, WI 535482940
6087566000
Source: CMS National Downloadable File, September 2026.