Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1998
NPI: 1821102849
Practice Locations (2)
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
405 RUSHING DR
HERRIN, IL 629483730
6189933300
LOGAN PRIMARY CARE SERVICE CORP.
405 RUSHING DR
HERRIN, IL 629483730
Source: CMS National Downloadable File, September 2026.