Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2021
NPI: 1790661098
Practice Locations (2)
100 TRADE CENTRE DR, SUITE 302
CHAMPAIGN, IL 618207245
2005 PARK RIDGE DR
URBANA, IL 618027003
Source: CMS National Downloadable File, September 2026.