Graduated: 1996
NPI: 1962717744
Practice Locations (4)
722 W BRIAR PLACE UNIT, SUITE 3
Chicago, IL 606579782
722 W BRIAR PL, APT 3
CHICAGO, IL 606579782
7732941834
722 W BRIAR PLACE, UNIT 3
CHICAGO, IL 606579782
1830 SHERMAN AVE, SUITE 304
EVANSTON, IL 602013772
7732941834
Source: CMS National Downloadable File, September 2026.