Medical school: CHICAGO COLLEGE OF OSTEOPATHY
Graduated: 2009
NPI: 1063655686
Practice Locations (2)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
1 KISH HOSPITAL DR
DEKALB, IL 601159602
8157667334
FREEPORT MEMORIAL HOSPITAL
1045 W STEPHENSON ST
FREEPORT, IL 610324864
8155996000
Source: CMS National Downloadable File, September 2026.