Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1851339030
Practice Locations (2)
HAMMOND HENRY DIST HOSPITAL
600 N COLLEGE AVE
GENESEO, IL 612541007
3099449124
HAMMOND HENRY DIST HOSPITAL
600 N COLLEGE AVE
GENESEO, IL 612541091
Source: CMS National Downloadable File, September 2026.