Graduated: 2023
NPI: 1003696345
Practice Locations (2)
VITAE HEALTH MEDICAL ILLINOIS, PLLC
1095 UNIVERSITY DR
EDWARDSVILLE, IL 620253961
6186561081
MERCY ACO CLINICAL SERVICES INC
15740 S OUTER 40 RD
CHESTERFIELD, MO 630172004
6362374200
Source: CMS National Downloadable File, September 2026.