Graduated: 2019
NPI: 1407407885
Practice Locations (2)
SALEM TOWNSHIP HOSPITAL
1201 RICKER RD
SALEM, IL 628814263
61854831948188
SALEM TOWNSHIP HOSPITAL
1321 W WHITTAKER ST, STH FAMILY HEALTH CARE CENTER
SALEM, IL 628812013
61854831948188
Source: CMS National Downloadable File, September 2026.