Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 2000
NPI: 1508810847
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
1000 WESTMORELAND RD, PAVILLION B 2ND FL
LAKE FOREST, IL 600451659
8472345600
Source: CMS National Downloadable File, September 2026.