Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1447226857
Practice Locations (2)
4320 SPRING CREEK RD, SUITE 13
ROCKFORD, IL 611071157
8159880779
GENESIS COUNSELING SERVICES LTD.
1 S MAIN ST, SUITE 250
JANESVILLE, WI 535453939
6087570404
Source: CMS National Downloadable File, September 2026.