Graduated: 1989
NPI: 1558459560
Practice Locations (3)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1309 S HALSTED ST
CHICAGO, IL 606075003
3124133000
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
1801 W TAYLOR ST, FL 4
CHICAGO, IL 606124795
3123556245
Source: CMS National Downloadable File, September 2026.