Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
NPI: 1326159872
Practice Locations (1)
IEMS PHYSICIAN SERVICES PLLC
1400 W PARK ST
URBANA, IL 618012334
2173372000
Source: CMS National Downloadable File, September 2026.