Graduated: 1994
NPI: 1568449098
Practice Locations (2)
HSHS MEDICAL GROUP INC
3 DO IT DR
ALTAMONT, IL 624111135
2174836131
HSHS MEDICAL GROUP INC
1900 E LAKE SHORE DR, SUITE 330
DECATUR, IL 625213848
2174232889
Source: CMS National Downloadable File, September 2026.