Graduated: 2014
NPI: 1134571995
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1221 E STATE ST
ROCKFORD, IL 611042231
8159721000
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1401 E STATE ST
ROCKFORD, IL 611042315
3124133282
Source: CMS National Downloadable File, September 2026.