Graduated: 2003
NPI: 1083276828
Practice Locations (3)
CARLINVILLE MEDICAL CLINIC INC
604 N BROAD ST
CARLINVILLE, IL 626261021
2178549411
CENTRAL COUNTIES HEALTH CENTERS, INC.
2239 E COOK ST
Springfield, IL 627031944
CENTRAL COUNTIES HEALTH CENTERS, INC.
2239 E COOK ST
SPRINGFIELD, IL 627031944
21778823002307
Source: CMS National Downloadable File, September 2026.