Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 1993
Offers telehealth
NPI: 1508830951
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1 ILLINI DR
PEORIA, IL 616052576
3096713173
Source: CMS National Downloadable File, September 2026.