Graduated: 2018
NPI: 1770070955
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1009 S WOOD ST
CHICAGO, IL 606123747
3123554300
COOK COUNTY
1901 W HARRISON ST
CHICAGO, IL 606123714
3126337292
Source: CMS National Downloadable File, September 2026.