Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1306536339
Practice Locations (3)
5841 S MARYLAND AVE
CHICAGO, IL 606371473
611 W PARK ST
Urbana, IL 618012500
611 W PARK ST
URBANA, IL 618012500
Source: CMS National Downloadable File, September 2026.