Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1986
Also: VASCULAR SURGERY
NPI: 1124029509
Practice Locations (1)
1063 M L KING DR
CENTRALIA, IL 628013001
6185324004
Source: CMS National Downloadable File, September 2026.