Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2003
NPI: 1043248867
Practice Locations (1)
PREMIER MEDICAL GROUP, LLC
1401 EASTLAND DR, SUITE B
BLOOMINGTON, IL 617013553
3096639424
Source: CMS National Downloadable File, September 2026.