Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1770780694
Practice Locations (3)
8425 S COTTAGE GROVE AVE
CHICAGO, IL 606196113
9425 DELEGATES ROW
Indianapolis, IN 462403805
9425 DELEGATES ROW
INDIANAPOLIS, IN 462403805
Source: CMS National Downloadable File, September 2026.