Graduated: 1996
NPI: 1497959779
Practice Locations (3)
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
COOK COUNTY
2424 S PULASKI RD
CHICAGO, IL 606233718
7735210750
COOK COUNTY
500 E 51ST ST
CHICAGO, IL 606152494
3125722000
Source: CMS National Downloadable File, September 2026.