Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1999
NPI: 1154394484
Practice Locations (2)
FREEPORT REGIONAL HEALTH CARE FOUNDATION
602 W OLYMPIC DR
LANARK, IL 610469105
8154932831
FREEPORT REGIONAL HEALTH CARE FOUNDATION
600 N RUSH ST
STOCKTON, IL 610851010
8159473211
Source: CMS National Downloadable File, September 2026.