Graduated: 2022
NPI: 1215624200
Practice Locations (3)
CEPAMERICA ILLINOIS LLP
2200 E WASHINGTON ST
BLOOMINGTON, IL 617014364
3096615111
METHODIST MEDICAL CENTER OF ILLINOIS
221 NE GLEN OAK AVE
PEORIA, IL 616360001
3096724281
OCCULT MENTAL HEALTH PLLC
123 S SAMPSON ST
TREMONT, IL 615688035
3099292030
Source: CMS National Downloadable File, September 2026.