Graduated: 2005
NPI: 1629249867
Practice Locations (2)
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
NORTHWESTERN MEDICAL FACULTY FOUNDATION
676 N SAINT CLAIR ST, SUITE 800
CHICAGO, IL 606112978
3126953775
Source: CMS National Downloadable File, September 2026.