Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2022
NPI: 1346985629
Practice Locations (2)
221 NE GLEN OAK AVE
PEORIA, IL 616360001
511 CHLOE RD
Pikeville, KY 415011585
Source: CMS National Downloadable File, September 2026.