Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
NPI: 1457368896
Practice Locations (2)
CARLE HEALTH CARE INCORPORATED
611 W PARK ST
Urbana, IL 618012501
CARLE HEALTH CARE INCORPORATED
611 W PARK ST
URBANA, IL 618012501
8887122753
Source: CMS National Downloadable File, September 2026.