Graduated: 2019
NPI: 1417513938
Practice Locations (2)
ORTHOPAEDIC CENTER OF IL
1301 S KOKE MILL RD
SPRINGFIELD, IL 627119252
2175479100
SOUTHERN OREGON ORTHOPEDICS INC
2780 E BARNETT RD, SUITE 200
MEDFORD, OR 975048674
5417796250
Source: CMS National Downloadable File, September 2026.