Graduated: 2014
NPI: 1699390534
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1220 S WOOD ST
CHICAGO, IL 606081202
3124133282
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
Source: CMS National Downloadable File, September 2026.