Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
NPI: 1538165261
Practice Locations (2)
COUNTY OF CLAY
911 STACEY BURK DR
FLORA, IL 628393241
6186622131
COUNTY OF CLAY
929 STACEY BURK DR
FLORA, IL 628393241
6186622131
Source: CMS National Downloadable File, September 2026.