Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
NPI: 1285608976
Practice Locations (1)
OSF MULTI-SPECIALTY GROUP
444 ROXBURY RD
ROCKFORD, IL 611075059
8153983000
Source: CMS National Downloadable File, September 2026.