Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1985
NPI: 1295732857
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
737 N MICHIGAN AVE
CHICAGO, IL 606112615
8475822104
Source: CMS National Downloadable File, September 2026.