Medical school: MID WEST MEDICAL COLLEGE
Graduated: 1996
Offers telehealth
NPI: 1831144476
Practice Locations (2)
OSF MULTI-SPECIALTY GROUP
2800 W 95TH ST
EVERGREEN, IL 608052701
7084992070
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.