Graduated: 1990
NPI: 1689693475
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1 ILLINI DR
PEORIA, IL 616052576
3096718484
HEARTLAND COMMUNITY HEALTH CLINIC
1800 N KNOXVILLE AVE, SUITE A
PEORIA, IL 616033005
3096807600
Source: CMS National Downloadable File, September 2026.