Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2002
NPI: 1720048572
Practice Locations (1)
EDGEWOOD CLINICAL SERVICES P.C.
581 ELM PL, SUITE 110
HIGHLAND PARK, IL 600353122
8884287890
Source: CMS National Downloadable File, September 2026.