Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1988
NPI: 1023014750
Practice Locations (1)
CEP AMERICA - ILLINOIS SNF LLP
2351 FRANK SCOTT PKWY E
SHILOH, IL 622697457
2176203319
Source: CMS National Downloadable File, September 2026.