Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1990
Offers telehealth
NPI: 1710089420
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
722 W MAXWELL ST
CHICAGO, IL 606075002
Source: CMS National Downloadable File, September 2026.