Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1235888041
Practice Locations (2)
CEPAMERICA ILLINOIS LLP
2200 E WASHINGTON ST
BLOOMINGTON, IL 617014364
3096615111
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
405 W JACKSON ST
CARBONDALE, IL 629011462
6185490721
Source: CMS National Downloadable File, September 2026.