Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1999
NPI: 1316031396
Practice Locations (2)
STATERA HEALTH CARE LLC
200 E FAIRMAN AVE
WATSEKA, IL 609701644
8154325841
CONCORD MEDICAL GROUP OF TEXAS PLLC
1 MEDICAL PLAZA
PAMPA, TX 790652819
8066653721
Source: CMS National Downloadable File, September 2026.