Graduated: 2001
NPI: 1457509358
Practice Locations (2)
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
2525 S MICHIGAN AVE
CHICAGO, IL 606162315
3123551153
Source: CMS National Downloadable File, September 2026.