Graduated: 2019
NPI: 1972123503
Practice Locations (3)
UNIVERSITY OF CHICAGO
355 E GRAND AVE
CHICAGO, IL 606115389
7737021000
UNIVERSITY OF CHICAGO
47 W POLK ST, SUITE G1
CHICAGO, IL 606052083
7737021000
UNIVERSITY OF CHICAGO
17805 HALSTED ST
HOMEWOOD, IL 604302011
7737021000
Source: CMS National Downloadable File, September 2026.