Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1508881871
Practice Locations (2)
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
COOK COUNTY
500 E 51ST ST
CHICAGO, IL 606152494
3125722000
Source: CMS National Downloadable File, September 2026.