Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 2017
NPI: 1932631447
Practice Locations (5)
NORTH SHORE-LIJ MEDICAL PC
1555 ELLINWOOD AVE, APT 523
DES PLAINES, IL 600164599
5164057080
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1555 ELLINWOOD AVE, APT 523
DES PLAINES, IL 600164599
5164057080
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
MEDICAL SERVICES OF KIPS BAY PC
170 GREAT NECK RD
GREAT NECK, NY 110213357
5164874464
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.