Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1983
NPI: 1134228224
Practice Locations (2)
PREMIER MEDICAL GROUP, LLC
1401 EASTLAND DR, SUITE B
BLOOMINGTON, IL 617013553
3096639424
PREMIER MEDICAL GROUP, LLC
2200 JACOBSSEN DR
NORMAL, IL 617615516
3094511212
Source: CMS National Downloadable File, September 2026.