Graduated: 2023
NPI: 1831867555
Practice Locations (2)
UNIVERSITY OF CHICAGO
5841 S MARYLAND AVE
CHICAGO, IL 606371443
8888240200
BEACON MEDICAL GROUP INC
621 MEMORIAL DR, SUITE 502
SOUTH BEND, IN 466011075
5746475875
Source: CMS National Downloadable File, September 2026.