Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1417961665
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
1000 WESTMORELAND RD, PAVILLION B 1ST FL
LAKE FOREST, IL 600451659
8472345600
Source: CMS National Downloadable File, September 2026.