Graduated: 2022
NPI: 1326788084
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1221 E STATE ST
ROCKFORD, IL 611042231
8159721000
SWEDISHAMERICAN HOSPITAL
1340 CHARLES ST, SUITE 400
ROCKFORD, IL 611042200
7796969512
Source: CMS National Downloadable File, September 2026.