Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1980
NPI: 1336107937
Practice Locations (1)
HUMBOLDT PARK HEALTH
1044 N FRANCISCO AVE
CHICAGO, IL 606222743
7732928227
Source: CMS National Downloadable File, September 2026.