Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1993
NPI: 1568430460
Practice Locations (2)
OSF MULTI-SPECIALTY GROUP
403 E 1ST ST
DIXON, IL 610213116
8152885531
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.