Graduated: 2016
NPI: 1518402064
Practice Locations (2)
AHS IL MEDICAL GROUP LLC
2100 MADISON AVE
GRANITE CITY, IL 620404713
6187983000
WASHINGTON UNIVERSITY COMMUNITY SPECIALISTS LLC
11133 DUNN RD
SAINT LOUIS, MO 631366163
3143629123
Source: CMS National Downloadable File, September 2026.