Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1996
NPI: 1811274756
Practice Locations (1)
OSF MULTI-SPECIALTY GROUP
530 NE GLEN OAK AVE
PEORIA, IL 616370001
8774646640
Source: CMS National Downloadable File, September 2026.