Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1932133766
Practice Locations (1)
ALIVIO MEDICAL CENTER, INC.
966 W 21ST ST
CHICAGO, IL 606084511
7732541400
Source: CMS National Downloadable File, September 2026.