Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1987
NPI: 1699858704
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
820 S WOOD ST
CHICAGO, IL 606124325
3123556245
Source: CMS National Downloadable File, September 2026.