Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
NPI: 1518160720
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST, FL 4
CHICAGO, IL 606124795
3123556245
2653 W OGDEN AVE, SUITE 3A
CHICAGO, IL 606081647
7086287780
Source: CMS National Downloadable File, September 2026.