Graduated: 2022
NPI: 1043956667
Practice Locations (2)
ORTHOMIDWEST, PLLC
1073 W LANE RD
MACHESNEY PARK, IL 611151622
8153989491
ATHLETICO LTD
701 N ELIDA ST, SUITE 1
WINNEBAGO, IL 610888624
8153358024
Source: CMS National Downloadable File, September 2026.