Graduated: 2015
NPI: 1619417904
Practice Locations (3)
1000 N LAKE SHORE DR, APT 1506
CHICAGO, IL 606115309
3250 LACEY RD, SUITE 160
DOWNERS GROVE, IL 605157901
27700 NORTHWEST FWY, SUITE 560
CYPRESS, TX 774336716
Source: CMS National Downloadable File, September 2026.