Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1990
NPI: 1003922782
Practice Locations (1)
SARAH BUSH LINCOLN HEALTH CENTER
101 PROFESSIONAL PLZ
MATTOON, IL 619389252
2172383730
Source: CMS National Downloadable File, September 2026.