Graduated: 2025
NPI: 1437046661
Practice Locations (5)
PO BOX
CHICAGO, IL 60674
7601 DOWNS FARM PL APT, SUITE 102
Louisville, KY 402282864
7601 DOWNS FARM PL, APT 102
LOUISVILLE, KY 402282863
909 RIDGEBROOK RD, SUITE 300
SPARKS, MD 211529474
17177 N LAUREL PARK DR, SUITE 439
LIVONIA, MI 481523938
Source: CMS National Downloadable File, September 2026.