Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1548248180
Practice Locations (3)
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
319 E MADISON ST, SUITE 1F
SPRINGFIELD, IL 627013118
2175458000
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
710 N 8TH ST
SPRINGFIELD, IL 627026324
2175887717
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
303 E BIDWELL ST
TAYLORVILLE, IL 625681363
2175458000
Source: CMS National Downloadable File, September 2026.