Medical school: FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2020
NPI: 1285260273
Practice Locations (2)
CEPAMERICA ILLINOIS LLP
2200 E WASHINGTON ST
BLOOMINGTON, IL 617014364
3096615111
CEP AMERICA LLC
600 GRANT ST
GARY, IN 464026001
2198864000
Source: CMS National Downloadable File, September 2026.