Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1114021581
Practice Locations (2)
FAMILY PRACTICE MEDICAL CENTER LTD
511 W FAIRCHILD ST
DANVILLE, IL 618323801
2174312025
FAMILY PRACTICE MEDICAL CENTER LTD
302 N MAIN ST
GEORGETOWN, IL 618461728
2176622282
Source: CMS National Downloadable File, September 2026.