Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
NPI: 1760613079
Practice Locations (3)
ATHLETICO LTD
900 E WALNUT ST, SUITE 1
CARBONDALE, IL 629013132
6183197540
ATHLETICO LTD
280 N RANDALL RD
LAKE IN THE HILLS, IL 601565903
8478548219
ATHLETICO LTD
703 W MAIN ST
MARION, IL 629592439
6185790953
Source: CMS National Downloadable File, September 2026.