Graduated: 2020
NPI: 1568163624
Practice Locations (2)
VITAE HEALTH MEDICAL ILLINOIS, PLLC
16450 S 97TH AVE
ORLAND PARK, IL 604675587
7084036500
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.