Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
NPI: 1619903762
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
251 E HURON, 704 DEPT OF ANES
CHICAGO, IL 606112908
3129262280
Source: CMS National Downloadable File, September 2026.