Medical school: WISCONSIN COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 2021
NPI: 1760060669
Practice Locations (2)
CEPAMERICA ILLINOIS LLP
2200 E WASHINGTON ST
BLOOMINGTON, IL 617014364
3096615111
NORTHWESTERN MEDICAL FACULTY FOUNDATION
211 E ONTARIO ST, SUITE 200
CHICAGO, IL 606113284
3126947000
Source: CMS National Downloadable File, September 2026.