Graduated: 2018
NPI: 1659913200
Practice Locations (2)
VITAE HEALTH MEDICAL ILLINOIS, PLLC
1366 W FULLERTON AVE
CHICAGO, IL 606142129
7732489300
NORTHWEST SUBURBAN MEDICAL GROUP S.C
2201 W SCHAUMBURG RD, SUITE B
SCHAUMBURG, IL 601943891
8478858480
Source: CMS National Downloadable File, September 2026.