Graduated: 2013
NPI: 1437865003
Practice Locations (4)
6423 N OLIPHANT AVE
CHICAGO, IL 606311511
422 2ND ST NE UNIT, SUITE 1
Minneapolis, MN 554132011
4749 CHICAGO AVE, SUITE 2B
MINNEAPOLIS, MN 554074181
6808 UPPER 28TH ST N
OAKDALE, MN 551283833
Source: CMS National Downloadable File, September 2026.