Graduated: 2023
NPI: 1770386765
Practice Locations (2)
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
213 NW 10TH ST, SUITE A
FAIRFIELD, IL 628371219
SARAH BUSH LINCOLN HEALTH CENTER
1000 HEALTH CTR DR, SUITE 401
MATTOON, IL 619384648
2172584020
Source: CMS National Downloadable File, September 2026.