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Doctors / IL
PHYSICIAN ASSISTANT
Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 2022
NPI: 1861149619
PO BOX
CHICAGO, IL 60674
400 S JENNINGS AVE, APT 439
FORT WORTH, TX 761042340
Source: CMS National Downloadable File, September 2026.