Graduated: 2019
NPI: 1467913194
Practice Locations (2)
PROHEALTH PARTNERS, A MEDICAL GROUP
1401 S GRAND AVE
LOS ANGELES, CA 900153010
2137482411
METHODIST MEDICAL CENTER OF ILLINOIS
815 MAIN ST, SUITE A
PEORIA, IL 616021080
3096724977
Source: CMS National Downloadable File, September 2026.