Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1962585059
Practice Locations (4)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1309 S HALSTED ST
CHICAGO, IL 606075003
3124133000
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST
CHICAGO, IL 606127232
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST
CHICAGO, IL 606124795
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
5525 S PULASKI RD
CHICAGO, IL 606294400
Source: CMS National Downloadable File, September 2026.