Graduated: 2017
NPI: 1376133504
Practice Locations (3)
PCC COMMUNITY WELLNESS CENTER
5425 W LAKE ST
CHICAGO, IL 606442342
7734131920
PCC COMMUNITY WELLNESS CENTER
5461 W LAKE ST
CHICAGO, IL 606442342
7083830113220005
VITAE HEALTH MEDICAL ILLINOIS, PLLC
7350 N SHERIDAN RD
CHICAGO, IL 606262017
7732741000
Source: CMS National Downloadable File, September 2026.