Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2006
NPI: 1689896441
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
676 N SAINT CLAIR, ARKES 1725
CHICAGO, IL 606112927
3126958108
Source: CMS National Downloadable File, September 2026.