Graduated: 2018
NPI: 1750842522
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST
CHICAGO, IL 606127232
3129969634
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST, SUITE 2
CHICAGO, IL 606124795
3123553060
Source: CMS National Downloadable File, September 2026.