Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1999
NPI: 1376580225
Practice Locations (1)
SPRINGFIELD CLINIC, LLP
1025 S 6TH ST
SPRINGFIELD, IL 627032403
2175287541
Source: CMS National Downloadable File, September 2026.