Graduated: 1994
NPI: 1215903422
Practice Locations (2)
FREEPORT REGIONAL HEALTH CARE FOUNDATION
160 W MAIN ST
LENA, IL 610489247
8153693300
FREEPORT REGIONAL HEALTH CARE FOUNDATION
600 N RUSH ST
STOCKTON, IL 610851010
8159473211
Source: CMS National Downloadable File, September 2026.