Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1992790828
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
840 S WOOD ST MC, 958 UIC SURGERY
CHICAGO, IL 606124325
3123550104
Source: CMS National Downloadable File, September 2026.