Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1993
NPI: 1477564490
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
1855 W TAYLOR ST
CHICAGO, IL 606127242
3129966590
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1855 W TAYLOR ST, MC648
CHICAGO, IL 606127242
Source: CMS National Downloadable File, September 2026.