Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2001
NPI: 1871533703
Practice Locations (1)
PRIMECARE COMMUNITY HEALTH, INC.
1431 N WESTERN AVE, SUITE 209
CHICAGO, IL 606227712
3124915495
Source: CMS National Downloadable File, September 2026.