Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1996
NPI: 1306885157
Practice Locations (1)
COMMUNITY HEALTH CARE ASSOCIATES INC
735 W MAIN ST
FREDERICKTOWN, MO 636451113
5737838875
Source: CMS National Downloadable File, September 2026.