Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1841308830
Practice Locations (2)
ILLINOIS UVC MEDICAL PLLC
1101 31ST ST, SUITE 170
DOWNERS GROVE, IL 605155581
8009916117
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
1 MEDICAL CTR DR
MORGANTOWN, WV 265061200
3042934500
Source: CMS National Downloadable File, September 2026.