Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1467184622
Practice Locations (2)
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
405 RUSHING DR
HERRIN, IL 629483730
6189933300
LOGAN PRIMARY CARE SERVICE CORP.
405 RUSHING DR
HERRIN, IL 629483730
Source: CMS National Downloadable File, September 2026.