Graduated: 2010
NPI: 1215382189
Practice Locations (3)
IMPACT PHYSICIAN GROUP ILLINOIS LLC
3402 ANDERSON HEALTHCARE DR
EDWARDSVILLE, IL 620257712
6183077900
SSM HEALTH CARE GROUP
1201 S GRAND BLVD
SAINT LOUIS, MO 631041016
3146172000
IMPACT PHYSICIAN GROUP MISSOURI LLC
3015 N BALLAS RD
SAINT LOUIS, MO 631312329
3149966500
Source: CMS National Downloadable File, September 2026.