Graduated: 2007
NPI: 1790937092
Practice Locations (2)
OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER
1640 1ST AVE
OTTAWA, IL 613509214
8154319208
MENDOTA COMMUNITY HOSPITAL
1650 MIDTOWN RD
PERU, IL 613541200
8155381351
Source: CMS National Downloadable File, September 2026.