Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2003
NPI: 1629194089
Practice Locations (1)
OAK STREET HEALTH PHYSICIANS GROUP PC
801 W LAKE AVE, SUITE 200
PEORIA, IL 616145951
3093007001
Source: CMS National Downloadable File, September 2026.