Graduated: 2017
NPI: 1629581855
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1309 S HALSTED ST
CHICAGO, IL 606075003
3124133000
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST
CHICAGO, IL 606124795
Source: CMS National Downloadable File, September 2026.