Medical school: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
Offers telehealth
NPI: 1457476186
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
2600 S MICHIGAN AVE, SUITE 205
CHICAGO, IL 606162857
3129499199
Source: CMS National Downloadable File, September 2026.