Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1013943760
Practice Locations (3)
SOUTHERN ILLINOIS DERMATOLOGY, PC
202 E 3RD ST
CENTRALIA, IL 628013902
6185326311
SOUTHERN ILLINOIS DERMATOLOGY, PC
220 N PARK AVE
HERRIN, IL 629483150
6189423344
SOUTHERN ILLINOIS DERMATOLOGY, PC
1007 S 42ND ST, SUITE 5
MOUNT VERNON, IL 628646217
6183167041
Source: CMS National Downloadable File, September 2026.