Medical school: MEDICAL COLLEGE OF PENNSYLVANIA
Graduated: 1991
Also: DENTAL ANESTHESIOLOGY, DENTIST, ORAL SURGERY, ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS
NPI: 1437100856
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
801 S PAULINA ST, MC 621 RM 42
CHICAGO, IL 606127210
3129966519
Source: CMS National Downloadable File, September 2026.