Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2010
NPI: 1023310919
Practice Locations (1)
ST CHARLES HEALTH SYSTEM INC
1253 NW CANAL BLVD
REDMOND, OR 977561334
5415488131
Source: CMS National Downloadable File, September 2026.