Graduated: 2015
NPI: 1508312034
Practice Locations (3)
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
COOK COUNTY
4800 W CHICAGO AVE
CHICAGO, IL 606513226
7738269600
COOK COUNTY
500 E 51ST ST
CHICAGO, IL 606152494
3125722000
Source: CMS National Downloadable File, September 2026.