Medical school: LOGAN COLLEGE OF CHIROPRACTIC
Graduated: 1995
NPI: 1811945058
Practice Locations (2)
5007 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 622083419
5007 N ILLINOIS ST, SUITE1
FAIRVIEW HEIGHTS, IL 622083419
6182354357
Source: CMS National Downloadable File, September 2026.