Graduated: 2022
NPI: 1295587376
Practice Locations (3)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST
CHICAGO, IL 606124795
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
5525 S PULASKI RD
CHICAGO, IL 606294400
3129962779
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
845 W WILSON AVE, UIC MEDICINE
CHICAGO, IL 606408090
3127441295
Source: CMS National Downloadable File, September 2026.