Graduated: 2023
NPI: 1336912385
Practice Locations (2)
HSHS MEDICAL GROUP INC
1730 E LAKE SHORE DR
DECATUR, IL 625213809
2173291000
CENTRAL ILLINOIS SNF CARE PLLC
1517 W WALNUT ST
JACKSONVILLE, IL 626501133
6303365620
Source: CMS National Downloadable File, September 2026.