Graduated: 2023
NPI: 1427737659
Practice Locations (2)
CEPAMERICA ILLINOIS LLP
1 SAINT ELIZABETH BLVD
O FALLON, IL 622691099
6182342120
VITUITY - ILLINOIS AUC LLP
1512 N GREEN MOUNT RD
O FALLON, IL 622692083
6186243750
Source: CMS National Downloadable File, September 2026.