Graduated: 2016
NPI: 1598216368
Practice Locations (3)
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
COOK COUNTY
500 E 51ST ST
CHICAGO, IL 606152494
3125722000
COOK COUNTY
1800 HARLEM AVE
NORTH RIVERSIDE, IL 605461468
7087839800
Source: CMS National Downloadable File, September 2026.