Graduated: 1975
NPI: 1619079670
Practice Locations (2)
OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER
1100 E NORRIS DR
OTTAWA, IL 613501604
8154333100
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.