Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1999
Also: PEDIATRIC MEDICINE
NPI: 1871696229
Practice Locations (1)
920 W ST, SUITE 111
PERU, IL 613542765
8152234273
Source: CMS National Downloadable File, September 2026.