Graduated: 1992
NPI: 1366426397
Practice Locations (3)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1401 E STATE ST
ROCKFORD, IL 611042315
3124133282
SWEDISHAMERICAN HOSPITAL
3775 N MULFORD RD, SA IMMEDIATE CARE
ROCKFORD, IL 611145632
7796969202
SWEDISHAMERICAN HOSPITAL
6824 NEWBURG RD, SA VALLEY
ROCKFORD, IL 611084330
7796967610
Source: CMS National Downloadable File, September 2026.