Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2013
NPI: 1669891800
Practice Locations (1)
536 W BOUGHTON RD, SUITE B
BOLINGBROOK, IL 604405752
6302348875
Source: CMS National Downloadable File, September 2026.