Graduated: 2019
NPI: 1578194965
Practice Locations (2)
CENTRAL PRAIRIE PHYSICIANS PLLC
525 E GRANT ST
MACOMB, IL 614553313
3098334101
SPRINGFIELD CLINIC, LLP
775 ENGINEERING AVE
SPRINGFIELD, IL 627035909
2175224300
Source: CMS National Downloadable File, September 2026.