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Doctors / IL
FAMILY PRACTICE
Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1996
NPI: 1376578799
COOK COUNTY
1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL 604113818
7087535800
Source: CMS National Downloadable File, September 2026.