Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1999
NPI: 1689762502
Practice Locations (2)
ROCKFORD HEALTH PHYSICIANS
8201 E RIVERSIDE BLVD
ROCKFORD, IL 611142300
8159712000
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINT AVE
JANESVILLE, WI 535482940
6087566000
Source: CMS National Downloadable File, September 2026.