Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1245953967
Practice Locations (3)
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
400 S LEWIS LN
CARBONDALE, IL 629013547
6185199900
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
404 S LEWIS LN
CARBONDALE, IL 629013547
6185199200
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
1006 S DIVISION ST
CARTERVILLE, IL 629181539
6189854841
Source: CMS National Downloadable File, September 2026.