Graduated: 2013
NPI: 1790110666
Practice Locations (2)
INNOVATIVE PLATINUM CARE, SC
2400 N ASHLAND AVE
CHICAGO, IL 606140851
7732705600
INNOVATIVE PLATINUM CARE, SC
2662 N LINCOLN AVE
CHICAGO, IL 606141307
7736575111
Source: CMS National Downloadable File, September 2026.