Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2018
Offers telehealth
NPI: 1881171122
Practice Locations (1)
LAKE STREET FAMILY PHYSICIANS SC INC
1010 LAKE ST, SUITE 301
OAK PARK, IL 603011133
7085248600
Source: CMS National Downloadable File, September 2026.