Graduated: 2010
NPI: 1689181372
Practice Locations (2)
TCA HEALTH INC NFP
1029 E 130TH ST
CHICAGO, IL 606286908
7739956300254
VITAE HEALTH MEDICAL ILLINOIS, PLLC
4437 S CICERO AVE
CHICAGO, IL 606324333
7738840484
Source: CMS National Downloadable File, September 2026.