Graduated: 2025
NPI: 1558259754
Practice Locations (2)
CEPAMERICA ILLINOIS LLP
2200 E WASHINGTON ST
BLOOMINGTON, IL 617014364
3096615111
OSF MULTI-SPECIALTY GROUP
2200 E WASHINGTON ST
BLOOMINGTON, IL 617014364
3096623311
Source: CMS National Downloadable File, September 2026.