Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2016
NPI: 1972177582
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1309 S HALSTED ST
CHICAGO, IL 606075003
3124133000
Source: CMS National Downloadable File, September 2026.