Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1998
NPI: 1013920420
Practice Locations (1)
MENDOTA COMMUNITY HOSPITAL
1405 E 12TH ST, SUITE 600
MENDOTA, IL 613429012
8155387200
Source: CMS National Downloadable File, September 2026.