Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1988
NPI: 1093753287
Practice Locations (1)
FREEPORT MEMORIAL HOSPITAL
1045 W STEPHENSON ST
FREEPORT, IL 610324864
8155996000
Source: CMS National Downloadable File, September 2026.