Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1508846429
Practice Locations (3)
HARRISBURG FAMILY PRACTICE LTD
117 E CLARK ST
HARRISBURG, IL 629462702
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
117 E CLARK ST
HARRISBURG, IL 629462702
6182528625
LOGAN PRIMARY CARE SERVICE CORP.
405 RUSHING DR
HERRIN, IL 629483730
Source: CMS National Downloadable File, September 2026.