Graduated: 1997
NPI: 1285673780
Practice Locations (2)
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
1115 MORGAN ST
CARLINVILLE, IL 626261438
2178543692
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
205 OAKLAND AVE
CARLINVILLE, IL 626261921
2178543223
Source: CMS National Downloadable File, September 2026.