Graduated: 1988
NPI: 1205928397
Practice Locations (2)
OSF MULTI-SPECIALTY GROUP
5114 N GLEN PARK PLACE RD
PEORIA, IL 616144686
3096838156
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.