Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
NPI: 1619085180
Practice Locations (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 S 1ST AVE
MAYWOOD, IL 601533328
7082168372
Source: CMS National Downloadable File, September 2026.