Graduated: 1990
NPI: 1073580122
Practice Locations (4)
CITY OF CLINTON
422 W WHITE ST
CLINTON, IL 617272272
2179359571
CITY OF CLINTON
422 W WHITE ST, EMERGENCY ROOM
CLINTON, IL 617272272
2179359571
803 ILLINI DR
CLINTON, IL 617279444
2179357037
HSHS MEDICAL GROUP INC
1730 E LAKE SHORE DR
DECATUR, IL 625213809
2173291000
Source: CMS National Downloadable File, September 2026.