Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
Offers telehealth
NPI: 1487104873
Practice Locations (1)
PROMED PREFERRED IL 2 PLLC
141 MARKET PL, SUITE 100
FAIRVIEW HEIGHTS, IL 622082089
6183984226
Source: CMS National Downloadable File, September 2026.