Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1306713748
Practice Locations (2)
1200 W STATE ST
Rockford, IL 611022112
1200 W STATE ST
ROCKFORD, IL 611022112
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1306713748
1200 W STATE ST
Rockford, IL 611022112
1200 W STATE ST
ROCKFORD, IL 611022112
Source: CMS National Downloadable File, September 2026.