Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
NPI: 1235122854
Practice Locations (2)
CITY OF CLINTON
422 W WHITE ST
CLINTON, IL 617272272
2179359571
EPSS LLC - EAST SERIES
422 W WHITE ST
CLINTON, IL 617272272
2179359571
Source: CMS National Downloadable File, September 2026.