Graduated: 2020
NPI: 1154930436
Practice Locations (2)
OSF MULTI-SPECIALTY GROUP
1505 EASTLAND DR, 320 CRTCA PLMNRY SLP MED
BLOOMINGTON, IL 617017912
3096612368
SAINT JAMES HOSPITAL
111 SPRING ST, FL 4
STREATOR, IL 613643332
8156724587
Source: CMS National Downloadable File, September 2026.