Graduated: 2022
NPI: 1457093726
Practice Locations (2)
CEPAMERICA ILLINOIS LLP
2200 E WASHINGTON ST
BLOOMINGTON, IL 617014364
3096615111
GASTONIA PHYSICIAN SERVICES PLLC
2525 COURT DR
GASTONIA, NC 280542140
7048342000
Source: CMS National Downloadable File, September 2026.