Graduated: 2016
NPI: 1821440959
Practice Locations (2)
HAMMOND HENRY DIST HOSPITAL
600 N COLLEGE AVE, SUITE 120
GENESEO, IL 612541092
3099441275
HAMMOND HENRY DIST HOSPITAL
105 N MAIN ST
PORT BYRON, IL 612757705
3095232015
Source: CMS National Downloadable File, September 2026.