Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1983
NPI: 1659390888
Practice Locations (8)
TIFT REGIONAL HEALTH SYSTEM INC
2225 US HWY 41 N
TIFTON, GA 317942749
2293914100
TIFT REGIONAL HEALTH SYSTEM INC
2227 US HWY 41 N
TIFTON, GA 317942749
2293536188
TIFT REGIONAL HEALTH SYSTEM INC
901 18TH ST E
TIFTON, GA 317943648
2293827120
METHODIST MEDICAL CENTER OF ILLINOIS
900 MAIN ST, SUITE 630
PEORIA, IL 616025024
3096724433
CARLE HEALTH CARE INCORPORATED
221 NE GLEN OAK AVE
PEORIA, IL 616360001
CARLE HEALTH CARE INCORPORATED
611 W PARK ST
Urbana, IL 618012501
CARLE HEALTH CARE INCORPORATED
611 W PARK ST
URBANA, IL 618012501
8887122753
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
1611 S MADISON ST
APPLETON, WI 549151844
9207382000
Source: CMS National Downloadable File, September 2026.