Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2003
NPI: 1447267919
Practice Locations (1)
OSF MULTI-SPECIALTY GROUP
5405 N KNOXVILLE AVE
PEORIA, IL 616145065
3096914410
Source: CMS National Downloadable File, September 2026.