Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2007
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1710183009
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1855 W TAYLOR ST
CHICAGO, IL 606127242
3129966590
Source: CMS National Downloadable File, September 2026.