Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1568471118
Practice Locations (3)
101 W UNIVERSITY AVE
Champaign, IL 618203909
101 W UNIVERSITY AVE
CHAMPAIGN, IL 618203909
7707 N KNOXVILLE AVE, SUITE 200
PEORIA, IL 616142020
Source: CMS National Downloadable File, September 2026.