Graduated: 2009
NPI: 1699005678
Practice Locations (2)
OSF MULTI-SPECIALTY GROUP
1401 E 12TH ST
MENDOTA, IL 613429216
8152275600
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.