Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1538379300
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST
CHICAGO, IL 606127232
3123556245
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1 ILLINI DR
PEORIA, IL 616052576
3096718484
Source: CMS National Downloadable File, September 2026.