This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / IL
NURSE PRACTITIONER
Graduated: 2022
NPI: 1164122974
FAIRVIEW HEIGHTS MEDICAL GROUP SC
4600 MEMORIAL DR, SUITE 360
BELLEVILLE, IL 622265366
6182227280
Source: CMS National Downloadable File, September 2026.