Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1993
NPI: 1841290913
Practice Locations (2)
OSF MULTI-SPECIALTY GROUP
3422 A COURT ST
PEKIN, IL 615546235
3094776000
OSF MULTI-SPECIALTY GROUP
8600 STATE ROUTE 91, SUITE 130
PEORIA, IL 616157829
3096835050
Source: CMS National Downloadable File, September 2026.