Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1902155468
Practice Locations (2)
ATHLETICO LTD
2632 W PERSHING RD
CHICAGO, IL 606321629
3124718157
ATHLETICO LTD
407 N LAGRANGE RD
LAGRANGE PARK, IL 605265623
7084829320
Source: CMS National Downloadable File, September 2026.