Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2003
NPI: 1942494059
Practice Locations (1)
VITAE HEALTH MEDICAL ILLINOIS, PLLC
500 ASBURY AVE
EVANSTON, IL 602022724
8473163320
Source: CMS National Downloadable File, September 2026.