Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2000
Offers telehealth
NPI: 1972524403
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
722 W MAXWELL ST, SUITE 235
CHICAGO, IL 606075002
3124334114
Source: CMS National Downloadable File, September 2026.