Graduated: 2002
NPI: 1851301030
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST
CHICAGO, IL 606124795
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
901 S WALCOTT ST, UIC ORTHOPEDIC SPORTS MEDICINE
CHICAGO, IL 606123725
3129967161
Source: CMS National Downloadable File, September 2026.