Graduated: 1983
NPI: 1548261613
Practice Locations (3)
COMPLEXCARE MEDICAL GROUP MIDWEST M PLLC
300 N MARIETTA ST
GREENUP, IL 624281103
2486601220
THEORIA MEDICAL
1650 INDIANTOWN RD
HENRY, IL 61537
2486601220
COMPLEXCARE MEDICAL GROUP MIDWEST H PLLC
2121 S 9TH ST
MATTOON, IL 619386113
2486601220
Source: CMS National Downloadable File, September 2026.