Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2002
NPI: 1326012006
Practice Locations (2)
HAMMOND HENRY DIST HOSPITAL
600 N COLLEGE AVE
GENESEO, IL 612541007
3099449124
GENESIS HEALTH SYSTEM
801 ILLINI DR
SILVIS, IL 612821804
3092814000
Source: CMS National Downloadable File, September 2026.