Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1997
NPI: 1033101753
Practice Locations (2)
OSF MULTI-SPECIALTY GROUP
2800 W 95TH ST
EVERGREEN, IL 608052701
7084992070
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.