Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2001
NPI: 1710914064
Practice Locations (1)
MIDWEST ORTHOPAEDIC CENTER S C
6000 N ALLEN RD
PEORIA, IL 616143294
3096911400
Source: CMS National Downloadable File, September 2026.