Graduated: 1993
NPI: 1689652190
Practice Locations (3)
QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC
1118 HAMPSHIRE ST
QUINCY, IL 623013027
2172226550
DUPAGE MEDICAL GROUP LTD
17495 LA GRANGE RD
TINLEY PARK, IL 604877581
7082267000
THE SOUTH BEND CLINIC LLC
301 E DAY RD
MISHAWAKA, IN 465453455
5742046700
Source: CMS National Downloadable File, September 2026.