Graduated: 2016
NPI: 1073064952
Practice Locations (3)
OSF MULTI-SPECIALTY GROUP
1401 E 12TH ST
MENDOTA, IL 613429216
8152275600
OSF MULTI-SPECIALTY GROUP
1100 E NORRIS DR
OTTAWA, IL 613501604
8154333100
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.