Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2007
NPI: 1518179209
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1858 W 18TH ST
CHICAGO, IL 606081964
3123556245
Source: CMS National Downloadable File, September 2026.