Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1063503704
Practice Locations (2)
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
2166 MADISON AVE
GRANITE CITY, IL 620404700
6183320953
LINCOLN SURGICAL ASSOCIATES, LTD.
739 N JEFFERSON ST, SUITE 200
MASCOUTAH, IL 622581447
6185668810
Source: CMS National Downloadable File, September 2026.