Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1996
Also: ALLERGY/IMMUNOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1841270717
Practice Locations (1)
SURGICAL SERVICES OF ILLINOIS, SC
1235 N MULFORD RD, SUITE 205
ROCKFORD, IL 611073879
8154849900
Source: CMS National Downloadable File, September 2026.