Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1689788630
Practice Locations (2)
DEACONESS ILLINOIS CLINIC INC
4105 N WATER TOWER PL
MOUNT VERNON, IL 628646296
6182449495
SELECT PHYSICAL THERAPY HOLDINGS INC
326 E MAIN ST
WEST FRANKFORT, IL 628962402
6189376200
Source: CMS National Downloadable File, September 2026.