Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1417928128
Practice Locations (1)
PEORIA EAR NOSE AND THROAT GROUP SC
7301 N KNOXVILLE AVE
PEORIA, IL 616142017
3095895900
Source: CMS National Downloadable File, September 2026.