Graduated: 2019
NPI: 1124680558
Practice Locations (4)
ST MARYS HOSPITAL CENTRALIA ILLINOIS
400 N PLEASANT AVE
CENTRALIA, IL 628013056
6184368000
GOOD SAMARITAN REGIONAL HEALTH CENTER
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 628642402
5572031601
GOOD SAMARITAN REGIONAL HEALTH CENTER
5 GOOD SAMARITAN WAY
MOUNT VERNON, IL 628642414
5572031601
ARNOT OGDEN MEDICAL CENTER
600 ROE AVE
ELMIRA, NY 149051629
60773741004118
Source: CMS National Downloadable File, September 2026.