Graduated: 2022
Also: SPORTS MEDICINE
NPI: 1831820596
Practice Locations (4)
102 W KENWOOD AVE, SUITE 100
DECATUR, IL 625264379
612 N 11TH ST
QUINCY, IL 623012662
PO BOX, SUITE 19369
Springfield, IL 627949369
PO BOX
SPRINGFIELD, IL 62794
Source: CMS National Downloadable File, September 2026.