Graduated: 2004
NPI: 1720217714
Practice Locations (2)
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
1711 N, SUITE 202
TERRE HAUTE, IN 478042766
8122423610
Source: CMS National Downloadable File, September 2026.