Graduated: 2024
NPI: 1871481788
Practice Locations (2)
EDGEWOOD CLINICAL SERVICES P.C.
1301 PYOTT RD, SUITE 208A
LAKE IN THE HILLS, IL 601569798
8884287890
ROCKFORD PSYCHIATRIC MEDICAL SERVICES SC
1639 N ALPINE RD, SUITE 260
ROCKFORD, IL 611071481
8153951500
Source: CMS National Downloadable File, September 2026.