Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2003
NPI: 1578754354
Practice Locations (2)
FREEPORT MEMORIAL HOSPITAL
1045 W STEPHENSON ST
FREEPORT, IL 610324864
8155996000
CEPAMERICA ILLINOIS LLP
5666 E STATE ST
ROCKFORD, IL 611082425
8152262000
Source: CMS National Downloadable File, September 2026.