Graduated: 1984
NPI: 1407907470
Practice Locations (2)
UNIVERSITY OF CHICAGO
17805 HALSTED ST
HOMEWOOD, IL 604302011
7737021000
UNIVERSITY OF CHICAGO
10855 VIRGINIA ST, SUITE 1700
CROWN POINT, IN 463070210
8888240200
Source: CMS National Downloadable File, September 2026.