Graduated: 2025
NPI: 1003707928
Practice Locations (2)
HARRISBURG FAMILY PRACTICE LTD
117 E CLARK ST
HARRISBURG, IL 629462702
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
117 E CLARK ST
HARRISBURG, IL 629462702
6182528625
Source: CMS National Downloadable File, September 2026.