Graduated: 2025
NPI: 1801605514
Practice Locations (4)
1220 S WOOD ST
CHICAGO, IL 606081202
2111 S WABASH AVE, APT 2209
CHICAGO, IL 606161794
2111 S WABASH AVE APT, SUITE 2401
CHICAGO, IL 606161794
7601 S KOSTNER AVE, SUITE 400
CHICAGO, IL 606521120
2172842605
Source: CMS National Downloadable File, September 2026.