Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
NPI: 1457337735
Practice Locations (1)
RIVEREDGE HOSPITAL INC
8311 ROOSEVELT RD
FOREST PARK, IL 601302529
7087717000
Source: CMS National Downloadable File, September 2026.