Graduated: 1992
NPI: 1730388422
Practice Locations (2)
SPECTRUM HEALTH INC
430 MAXINE DR
MORTON, IL 615502495
3094854520
ILLINOIS GASTROENTEROLOGY GROUP LLC
1001 MAIN ST, SUITE 500A
PEORIA, IL 616062038
3096724980
Source: CMS National Downloadable File, September 2026.