Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2014
NPI: 1992110548
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
835 S WOLCOTT AVE MC, 844 UIC ORTHOPEDICS SPORTS MEDICINE
CHICAGO, IL 606123748
3129965625
Source: CMS National Downloadable File, September 2026.