Graduated: 1982
Also: GERIATRIC MEDICINE
Offers telehealth
NPI: 1760440580
Practice Locations (2)
1054 MARTIN LUTHER KING DR, SUITE 126
CENTRALIA, IL 628013065
6185335500
ST MARYS HOSPITAL CENTRALIA ILLINOIS
400 N PLEASANT AVE
CENTRALIA, IL 628013056
6184368000
Source: CMS National Downloadable File, September 2026.