Graduated: 2003
NPI: 1487910675
Practice Locations (3)
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
SAINT ANTHONY HEALTH AFFILIATES
2875 W 19TH ST
CHICAGO, IL 606233501
7734844425
COOK COUNTY
500 E 51ST ST
CHICAGO, IL 606152494
3125722000
Source: CMS National Downloadable File, September 2026.