Medical school: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated: 1967
NPI: 1447355540
Practice Locations (3)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST
CHICAGO, IL 606127232
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST
CHICAGO, IL 606124795
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
5525 S PULASKI RD
CHICAGO, IL 606294400
3129962779
Source: CMS National Downloadable File, September 2026.