Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1154035111
Practice Locations (2)
CENTRAL COUNTIES HEALTH CENTERS, INC.
2239 E COOK ST
Springfield, IL 627031944
CENTRAL COUNTIES HEALTH CENTERS, INC.
2239 E COOK ST
SPRINGFIELD, IL 627031944
21778823002307
Source: CMS National Downloadable File, September 2026.