Graduated: 2020
NPI: 1487203659
Practice Locations (3)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST
CHICAGO, IL 606124795
FOUNDATION FOR OUTREACH SERVICES
326 W 64TH ST
CHICAGO, IL 606213114
7739623900
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
845 W WILSON AVE, UIC MEDICINE
CHICAGO, IL 606408090
3127441295
Source: CMS National Downloadable File, September 2026.