Graduated: 2002
NPI: 1396705943
Practice Locations (4)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST
CHICAGO, IL 606124795
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
901 S WALCOTT ST, UIC ORTHOPEDIC SPORTS MEDICINE
CHICAGO, IL 606123725
3129967161
ENDEAVOR HEALTH MEDICAL GROUP
2650 RIDGE AVE
EVANSTON, IL 602011700
ENDEAVOR HEALTH MEDICAL GROUP
9600 GROSS POINT RD
SKOKIE, IL 600761214
Source: CMS National Downloadable File, September 2026.