Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 1999
NPI: 1609866326
Practice Locations (2)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
675 N SAINT CLAIR ST
CHICAGO, IL 606115975
NORTHWESTERN MEDICAL FACULTY FOUNDATION
675 N ST CLAIR
CHICAGO, IL 606115975
Source: CMS National Downloadable File, September 2026.