Medical school: UNIV OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY
Graduated: 2023
NPI: 1831052489
Practice Locations (2)
1501 S CALIFORNIA, SUITE 140
Chicago, IL 606081732
1501 S CALIFORNIA AVE, 7 140
CHICAGO, IL 606081732
Source: CMS National Downloadable File, September 2026.