Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1376504365
Practice Locations (2)
K M B S C
422 W WHITE ST
CLINTON, IL 617272272
2179359571
K M B S C
1304 FRANKLIN AVE
NORMAL, IL 617613558
3092685128
Source: CMS National Downloadable File, September 2026.