Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2024
NPI: 1841041910
Practice Locations (2)
PO BOX
CHICAGO, IL 60673
200 N BRYANT AVE, SUITE 10
EDMOND, OK 730346294
Source: CMS National Downloadable File, September 2026.