Graduated: 2011
NPI: 1871878249
Practice Locations (2)
CENTRAL ILLINOIS INSTITUTE OF BALANCE LLC
211 LANDMARK DR, E3
NORMAL, IL 617616165
3096634900
ILLINOIS STATE UNIVERSITY
275 S UNIVERSITY, 211 RACHEL COOPER BLDG
NORMAL, IL 617610001
3094388641
Source: CMS National Downloadable File, September 2026.