Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1972617843
Practice Locations (3)
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
1855 W TAYLOR ST
CHICAGO, IL 606127242
3129966590
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1855 W TAYLOR ST, MC648
CHICAGO, IL 606127242
3129966590
Source: CMS National Downloadable File, September 2026.